Table 1. Classification of prosthetic joint infections.
| Classification | Characteristic |
|---|---|
|
According to the route of infection |
|
| Perioperative |
Inoculation of microorganisms into the surgical surgery or immediately thereafter |
| Hematogenous |
Through blood or lymph spread from a distant focus of infection |
| Contiguous |
Contiguous spread from an adjacent focus of infection (eg, penetrating trauma, pre-existing osteomyelitis, skin and soft tissue lesions) |
|
According to the onset of symptoms after implantation |
|
| Early infection (< 3 mo) |
Predominantly acquired during implant surgery or the following 2 to 4 d and caused by highly virulent organisms |
| Delayed or low-grade infection (3–24 mo) |
Predominantly acquired during implant surgery and caused by less virulent organisms |
| Late infection (> 24 mo) | Predominantly caused by hematogenous seeding from remote infections |
Table reproduced with permission from EMH Swiss Medical Publishers Ltd. and authors.50