Several participants said that they primarily use devices familiar to them, largely based on their training, to achieve optimal outcomes. Some differing views were expressed. Some participants who use orthopaedic implants said that proficiency with many devices was needed to best meet patients’ clinical needs. Some people treat everything with one system and some other people treat tailored to the patient. It depends on your philosophy and your training. I'm one of those people that tailor it so I try to look at the patient's issues and find the best solution available. (10OCE)Some people may feel they're only comfortable sticking with one. But being an arthroplastic surgeon is complex. You need a variety, and there are benefits and down sides to every single implant in terms of correcting for deformities, problems, variations on normal anatomy. In order to give the best outcome for patients, the one or two implants that you're comfortable with may not correct those issues and that's why I feel the need to use a wide variety of implants. (14OTE)