We studied 1199 patients treated in II Department of Surgery in Cracow between 1987 and 2000. In the studied group, 138 patients were aged over 60 years. In most cases the injury took place at home (43.68%) and more often than not they occurred during operating mechanical equipment (52.89%) among which circular saw predominated (35.51%). It was revealed that the hand injuries of senior patients were more severe compared with the other patients and the permanent post-injury disability was more intense. The elderly patients with multi-tissue hand injuries should be treated in specialist centers. It is also essential to start as soon as possible the therapeutic rehabilitation (even during surgical treatment). Only such proceedings enable better final results of treatment.