The present invention relates to a medical implant (1) for cartilage repair at an articulating surface of a joint. The implant comprises a contoured, substantially plate shaped, implant body (11) and at least one extending post (8). The implant body has a articulate surface (3) configured to face the articulating part of the joint and a bone contact surface (6) configured to face the bone structure of a joint, where the said articulate and bone contact surfaces face mutually opposite directions and said bone contact surface is provided with the extending post. A cartilage contact surface (7) connects the articulate and the bone contact surfaces and is configured to contact the cartilage surrounding the implant body in a joint. The cartilage contact surface has a coating that substantially consists of a bioactive material.