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. 2025 Mar 7;8(1 Suppl):e369. doi: 10.1097/OI9.0000000000000369

Table 1.

Infection grading.

Classification of Infection
Level of severity Symptoms and signs Treatment Grade
Low-grade soft tissue infection Cellulitis with signs of inflammation (redness, swelling, warmth, stinging pain, pain that increases on loading, tense) Oral antibiotics
Parenteral antibiotics
Surgical intervention
1
1A
1B
1C
High-grade soft tissue infection Pus collection, purulent discharge, raised level of C-reactive protein Oral antibiotics
Parenteral antibiotics
Surgical intervention
2
2A
2B
2C
Bone infection Radiographic evidence of osteitis (periosteal bone reaction), radiographic evidence of osteomyelitis (sequestrum and involucrum) Oral antibiotics
Parenteral antibiotics
Surgical intervention
3
3A
3B
3C
Implant failure Radiographic evidence of loosening Parenteral antibiotics, explantation 4

Reprinted with permission from Wolters Kluwer Health, Inc. Journal of Bone & Joint Surgery. Safety of osseointegrated implants for transfemoral amputees: a two-center prospective cohort study. Munjed Al Muderis, Aditya Khemka, Sara J. Lord, et al. 2016;98(11).