A talar implant (102) is disclosed. The implant comprises a body (104) comprising a bone contact surface (108) and an articulation surface (106). A stem (110) extends longitudinally from the bone contact surface. The stem comprises one or more features (112a, 112b, 218) sized and configured to prevent rotational movement, anterior/posterior movement, and medial/lateral movement. The stem is configured to be received within a hole a talus.
