A cartilage implant for replacing a portion of the cartilage adjacent to a skeletal joint. In one exemplary embodiment, the cartilage implant includes a bearing portion and a drape. The bearing portion is configured to replace a portion of the cartilage adjacent to a skeletal joint. In one exemplary embodiment, the bearing portion is formed at least partially from a resilient polymer, such as a PVA hydrogel. The drape may be configured to secure the implant to an adjacent bone. Additionally, the drape may be extended over adjacent tissues and connected to the tissues to hold the implant in place while permitting some anatomic movement of the bearing portion.