An osteochondral repair implant is provided, comprising a tissue scaffold configured to allow growth of at least bone and/or cartilage and to fit within at least a portion of an osteochondral hole, the tissue scaffold comprising one or more recesses and/or projections; and a biodegradable carrier containing a growth factor, the biodegradable carrier being placed in and/or around the recesses and/or projections of the tissue scaffold and reduce compression of the biodegradable carrier by the tissue scaffold. In some embodiments, methods for repairing an osteochondral defect are provided that utilize an osteochondral plug and a biodegradable carrier containing a growth factor.