A patellar implant includes a posterior portion and an anterior portion. The posterior portion can have a first radial sidewall that extends between an outboard face and an inboard face. The outboard face can include an articulating surface. The inboard face can include one of a stem and a recess, and one of an annular central hub and an annular radial pocket. The anterior portion can have a second radial sidewall that extends between a tissue engaging surface and a posterior portion engaging surface.