Readtables aren't any more ancient than the rest of ANSI INCITS 226-1994 (R2004) (the language standard formerly known as X3.226-1994 (R1999)), but the interface to them is very low-level and non-modular.
The current readtable is specified by a dynamic variable, so the readtable facility can be made modular with a nicer interface, in a portable manner. This is exactly what the library Named-Readtables does: http://common-lisp.net/project/named-readtables/
Now realize the significance of this: Common Lisp is the only language allowing total unrestricted syntactic extension and <i>modification</i> in a modular and (somewhat) composable way.
I've been using named-readtables for the past month, and between it and Quicklisp, I haven't been this excited about programming in CL since I started (which is 8 years ago, not that long, but I'm not a total noob either).