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Digital replantation in the aged patient
T Okada1, N Ishikura, S Tsukada
1Department of Plastic and Reconstructive Surgery, Kanazawa Medical University, Ishikawa, Japan.
Journal of Reconstructive Microsurgery
|October 1, 1988
Summary
Digit replantation in elderly patients can be successful, even with limited functional recovery. Patient satisfaction is high, emphasizing the importance of individual assessment and informed consent for aged individuals considering finger reattachment.
Area of Science:
- Reconstructive surgery
- Geriatric medicine
- Microsurgery
Background:
- Digit replantation is a complex procedure with varying outcomes.
- Decision-making for replantation in elderly patients requires careful consideration.
- Traditional approaches may not always apply to older patient populations.
Purpose of the Study:
- To report successful digit replantations in elderly patients.
- To evaluate outcomes and patient satisfaction in this demographic.
- To discuss the considerations for replantation in aged individuals.
Main Methods:
- Retrospective case series of eight elderly patients (65-74 years) undergoing digit replantation.
- Analysis of surgical success (take rate) and functional restoration.
- Assessment of patient satisfaction with the replantation outcome.
Main Results:
- Successful replantation achieved in five of nine attempted fingers.
- High patient satisfaction reported despite poor functional recovery.
- Aged patients demonstrated good outcomes with replantation.
Conclusions:
- Digit replantation is a viable option for selected elderly patients.
- Patient satisfaction is a key outcome measure in this age group.
- Individualized assessment and informed consent are crucial for aged patients considering digit replantation.