Type
Onset
Definition
Treatment
1
Positive intraoperative culture
Two or more positive intraoperativecultures
Antibiotics
2
Acute postoperativeinfection
Infection less than 4 weekspostoperatively
Debridement with component retention and antibiotics
3
Acute hematogenousinfection
Infection in a previously well-functioning totalknee replacement subsequent to bacteremia
Debridement with component retention and antibiotics versus component removal
4
Chronic infection
Infection >4 weeks postoperatively
Component removal
References
1.
2.
3.
4.
5.
Mauerhan DR, Nelson CL, Smith DL, Fitzgerald Jr RH, Slama TG, Petty RW, Jones RE, Evans RP. Prophylaxis against infection in total joint arthroplasty. One day of cefuroxime compared with three days of cefazolin. J Bone Joint Surg Am. 1994;76(1):39–45.PubMed
6.
Lidwell OM. Clean air at operation and subsequent sepsis in the joint. Clin Orthop Relat Res. 1986;211:91–102.PubMed
7.
Smith RC, Mooar PA, Cooke T, Sherk HH. Contamination of operating room personnel during total arthroplasty. Clin Orthop Relat Res. 1991;271:9–11.PubMed
8.
Johnson DP, Bannister GC. The outcome of infected arthroplasty of the knee. J Bone Joint Surg Br. 1986;68(2):289–91.PubMed