Should the hand replantation of a 63-year-old patient be attempted?

IntroductionProgress in microsurgical techniques for the last 40 years revealed a new population of patients: those with replanted hand.ObservationWe present the case of a 63-year-old patient with a complete traumatic radio carpal amputation. His amputated hand was successfully replanted in emergency on December 8, 2014; we will detail the issues in post-operative rehabilitation treatment and the need to solve multiple problems. We will discuss about vascular question, risk of infection, skin appearance, bone, tendon, neurological, and psychological component, some objectives having to take in consideration different factors involved in the recovery.DiscussionThe replantation of a hand in a 63-year-old patient requires specialized care, long and difficult labor with an uncertain future for reinnervation. On the other side, the myoelectric prosthesis allows to the patient a rapid return to social life