A system for restoring articular cartilage has a cover, an anchor, and a
tether that cooperate to retain graft tissue with respect to a graft
site. The cover is attached to the anchor via the tether. The tether
passes through a tunnel through a bone to which the articular cartilage
is attached. The tunnel connects the graft site to an anchoring side of
the bone. The anchor is retained proximate the anchoring side such that
tension in the tether keeps the cover in place over the tissue graft to
capture the tissue graft at the proper position with respect to the graft
site. The cover and/or the anchor may be bioabsorbable. The cover may be
perforated to permit fluids to access the tissue graft from outside the
cover to enhance incorporation of the graft tissue with the graft site.
The cover may be formed of rigid or flexible materials.