Digital replantation in the aged patient

Successful digit replantations in aged patients are reported. Seven males and one female (eight patients with nine fingers in total), ranging in age from 65 to 74 years (71 years on average), were treated. Five fingers were replanted, and the take was very good. Although restored function in the replanted fingers was poor, the patients were satisfied with the results. There is some consensus that, since an immovable finger obstructs the function of the other normal fingers, it is better to sacrifice the digit, a solution often considered in male laborers in the prime of life who use their fingers extensively. However, in the case of aged patients, it is not as necessary to provide ingenious solutions, as it might be for young patients. Whether or not replantation is carried out should be determined after careful consideration of patient status and desire, and after extensive explanation about the postoperative condition of their fingers.