Trends in Digital Replantation
Trends in Digital Replantation
Patients of advanced age traditionally have been considered unfavorable candidates because of the higher incidence of systemic diseases, the less satisfactory outcome of nerve regeneration in advanced age, and because these patients achieve a decreased range of motion compared to younger patients. However, in a recent study by Barzin et al., replantation in elderly patients is not correlated with a higher perioperative morbidity. The only age-related differences that were found were a higher transfusion rate and a
higher need for support after discharge. Data from patients with microvascular tissue transfer, a comparable patient group, are not conclusive. Some suggest that morbidity is not correlated with age but with a higher American Society of Anesthesiologist Score, whereas other studies have found that age was associated with a higher incidence of complications. Looking at the data so far, age may correlate with a less satisfactory functional outcome but not necessarily with a higher morbidity.
Replantation in Elderly Patients
Patients of advanced age traditionally have been considered unfavorable candidates because of the higher incidence of systemic diseases, the less satisfactory outcome of nerve regeneration in advanced age, and because these patients achieve a decreased range of motion compared to younger patients. However, in a recent study by Barzin et al., replantation in elderly patients is not correlated with a higher perioperative morbidity. The only age-related differences that were found were a higher transfusion rate and a
higher need for support after discharge. Data from patients with microvascular tissue transfer, a comparable patient group, are not conclusive. Some suggest that morbidity is not correlated with age but with a higher American Society of Anesthesiologist Score, whereas other studies have found that age was associated with a higher incidence of complications. Looking at the data so far, age may correlate with a less satisfactory functional outcome but not necessarily with a higher morbidity.
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