The implant (100) has a drive element (103) placed in interior (IN) of the implant enclosed by wall segments (110, 111), where the drive element comprises a toothed ring that is coaxially arranged with respect to a central longitudinal axis (A). A bearing is located on a component (101) in a load direction, and the wall segment and the toothed ring are formed with an access opening (150) for rotary actuation of the drive element by a maneuvering tool. A holding element is located in the interior and connects free ends of the wall segments of the component to each other.