A porous region having the shape of interconnected porosity similar to cancellous bone to promote skeletal fixation by bone ingrowth, integrally connected to and adjacent to the porous region, the shape of the interconnected porosity similar to subchondral bone having a transition region having a region dense substantially having an outer surface and integrally connected to the transition region, a finish that is adapted to articulate against the native articular cartilage, the surface of the region dense substantially including, integral orthopedic implants.骨内殖による骨格固定を促進するために海綿骨と同様の連通気孔の形状を有する多孔質領域と、多孔質領域に隣接および一体的に連結し、軟骨下骨と同様の連通気孔の形状を有する移行領域と、移行領域に一体的に連結しかつ外周面を有する実質的に稠密な領域と、天然関節軟骨に対する関節接合に適応した仕上げを有する、実質的に稠密な領域上の表面とを含む、一体式整形外科インプラント。