| CPC A61F 2/40 (2013.01) [A61B 17/0642 (2013.01); A61F 2/28 (2013.01); A61F 2/30 (2013.01); A61F 2/30756 (2013.01); A61F 2/4081 (2013.01); A61F 2/4606 (2013.01); A61F 2/4618 (2013.01); A61F 2/4637 (2013.01); A61B 2017/0409 (2013.01); A61B 2017/044 (2013.01); A61B 2017/0648 (2013.01); A61F 2002/30331 (2013.01); A61F 2002/30364 (2013.01); A61F 2002/30405 (2013.01); A61F 2002/30462 (2013.01); A61F 2002/305 (2013.01); A61F 2002/30649 (2013.01); A61F 2002/3085 (2013.01); A61F 2002/4627 (2013.01); A61F 2002/4628 (2013.01); A61F 2310/00011 (2013.01)] | 20 Claims |

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1. An implant assembly comprising:
an implant having a load bearing surface with a contour corresponding to a patient's articular surface, and a bone facing surface including a first fixation element;
an anchor configured to be secured to bone beneath said patient's articular surface, said anchor including a second fixation element; and
wherein said first fixation element is configured to be secured to said second fixation element;
wherein said first fixation element and said second fixation element are configured to mechanically connect with each other to form a mechanical connection therebetween, said first fixation element and said second fixation element are further configured to frictionally engage with each other to form a frictional connection therebetween;
one of said first fixation element and said second fixation element comprises a protrusion comprising a protrusion sidewall having an exterior surface, an interior surface defining a cavity, and a thickness extending therebetween;
said protrusion sidewall includes at least one protrusion sidewall fixation feature, said at least one protrusion sidewall fixation feature comprises a plurality of ribs and at least one plurality of relief recesses extending through the exterior surface of the protrusion sidewall to a non-zero distance from the interior surface of the protrusion sidewall, and wherein the plurality of ribs are separated by the plurality of relief recesses.
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