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No entanto, a efic\u00e1cia est\u00e1 relacionada \u00e0 sele\u00e7\u00e3o adequada dos casos para cada tipo de tratamento.<\/jats:p><jats:p>O desbridamento com reten\u00e7\u00e3o do implante \u00e9 indicado em infec\u00e7\u00f5es agudas com implante fixo, e seu sucesso depende do tipo de infec\u00e7\u00e3o, das comorbidades do hospedeiro e da virul\u00eancia do agente etiol\u00f3gico.<\/jats:p><jats:p>A revis\u00e3o em um ou dois est\u00e1gios se imp\u00f5em nos casos em que haja forma\u00e7\u00e3o de biofilme, ou nos quais se tenha afrouxamento do implante. A escolha entre realizar a revis\u00e3o em um ou dois est\u00e1gios depende de fatores como identifica\u00e7\u00e3o do agente etiol\u00f3gico, virul\u00eancia do pat\u00f3geno, fatores locais e sist\u00eamicos do hospedeiro.<\/jats:p><jats:p>Os procedimentos de salvamento como artrodese, amputa\u00e7\u00e3o, artroplastia de ressec\u00e7\u00e3o ou, ainda, supress\u00e3o antibi\u00f3tica s\u00e3o reservados para os casos em que n\u00e3o se conseguiu erradica\u00e7\u00e3o da infec\u00e7\u00e3o.<\/jats:p>","DOI":"10.1055\/s-0041-1729936","type":"journal-article","created":{"date-parts":[[2022,5,27]],"date-time":"2022-05-27T23:10:36Z","timestamp":1653693036000},"page":"193-199","source":"Crossref","is-referenced-by-count":0,"title":["Infec\u00e7\u00e3o periprot\u00e9tica do joelho \u2013 Parte 2: Tratamento"],"prefix":"10.1055","volume":"57","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3654-2031","authenticated-orcid":false,"given":"Jo\u00e3o 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