- +91 75677 63301
- 24*7 Emergency Care
At Krisha Hand Hospital, every hand tells a story — stories of pain, strength, resilience, and recovery. In 2026, one such extraordinary journey reached a proud milestone with the publication of our first scientific paper indexed on PubMed and featured in international medical journals, highlighting the excellence of our care and clinical expertise.
A 2-year-old child was brought to Krisha Hand Hospital after suffering a severe dog bite injury, resulting in complete thumb avulsion amputation.
The challenges were overwhelming:
- Complete loss of the thumb
- Heavily contaminated wound
- Extremely small blood vessels and nerves due to young age
- Very low chances of successful replantation
For many centers, this would have been considered an impossible case.
But at Krisha Hand Hospital, giving up was never an option.
Leadership and Expertise Behind the Success
This unprecedented success was achieved under the leadership of Dr. Karn Maheshwari, a super-specialist in Hand, Wrist & Microsurgery and one of Gujarat’s leading experts in complex microsurgical hand reconstruction. Dr. Maheshwari holds advanced qualifications including FNB (Hand & Microsurgery), MS Orthopedics, and DNB Orthopedics, and has trained extensively in reconstructive microsurgery at premier centers such as Ganga Hospital, Coimbatore — one of India’s foremost institutions for hand surgery. (Krisha Hospital)
With expertise in trauma reconstruction, tendon and nerve repair, replantation procedures, congenital hand differences, and intricate microsurgery, Dr. Maheshwari combines world-class surgical precision with compassionate patient care — ensuring the best outcomes even in the most challenging cases.
The Surgical Challenge: Precision at the Microscopic Level
Given the complexity of the injury, Dr. Maheshwari and the surgical team proceeded with an 8-hour highly specialized microsurgical replantation. This involved:
- Reconnecting microscopic arteries, veins, and nerves
- Controlling contamination and preventing infection
- Ensuring precise anatomical alignment for growth and function
Pediatric microsurgery is one of the most demanding fields in reconstructive surgery, and this case called for exceptional skill and precision.
The Outcome: Results That Redefined Possibility
Eighteen months after surgery, the child’s recovery exceeded every expectation:
✔ 93% grip strength restored
✔ Full range of motion
✔ Normal thumb growth according to age
✔ Excellent functional outcome (Tamai Score: 140/140)
The replanted thumb not only survived — it grew normally and functions almost like a natural thumb, supporting the child’s developmental milestones and daily activities.
International Recognition: Published on PubMed (2026)
This remarkable success has now been formally documented and published in an international peer-reviewed journal, indexed on PubMed.
Research Title:
Successful Thumb Replantation Following Dog Bite Avulsion Amputation in a 2-Year-Old Child: A Case Report and Literature Review
🔗 Read the full published case report here:
https://jocr.co.in/wp/2026/01/successful-thumb-replantation-following-dog-bite-avulsion-amputation-in-a-2-year-old-child-a-case-report-and-literature-review/
This publication represents a significant academic and clinical achievement for Krisha Hand Hospital and underscores our commitment to excellence in hand and microsurgical care.
What This Case Proves
This case proves one powerful truth:
With expertise, precision, and belief — miracles are possible.
Even in the most challenging situations, timely intervention and specialized microsurgical care can restore not just limbs, but futures.
A Message of Hope for Patients and Families
Severe hand injuries — especially in children — can feel overwhelming and frightening. But cases like this remind us that early referral to a specialized hand surgery center can make a life-changing difference.
At Krisha Hand Hospital, Ahmedabad, we are dedicated to:
- Advanced hand and microsurgery
- Evidence-based treatment
- Compassionate, patient-centered care
Author bio
Dr. Karn Maheshwari is the founder of Krisha Hand Hospital, Ahmedabad, established in 2016. He is the only fnb-qualified hand surgeon across Gujarat, Rajasthan, and Madhya Pradesh.
With MS and DNB in orthopedics, Dr. Maheshwari specializes in treating a wide range of hand and wrist conditions, including carpal tunnel syndrome, sports hand injuries, orthopedic hand surgery, ganglion cysts, mangled hand injuries, congenital hand differences, brachial plexus palsy, cerebral palsy & spastic hand, hand tendinopathy, hand microsurgery, hand swelling, hand transplants, hand reimplantation, rheumatoid hand deformities, and peripheral nerve injuries & compressive neuropathies.
Dr. Maheshwari’s unmatched expertise and patient-centric approach ensure world-class treatment, advanced surgical solutions, and optimal recovery for patients with complex hand and wrist conditions.
