 Hi everyone, my name is Subib Bhart Roy, I am from Assam, Guwahati, so I actually work in Bangalore. So this incident took place last Saturday while I was cleaning my bikes chain, I was trying to loop the chain, which I generally do. So generally we do it in running condition, so there was a lot of dirt which I was trying to take it off through a brush, but I couldn't do it, so I used a cloth which got trapped in the rear chain sprocket, which caught my hand and imputed my fingers. So I was rushed to the nearby hospital, but the assurance was not enough, so we were recommended Manipal Hospital by a relative. Dr. Dinkar and Dr. Rashok attended us. Whenever we have this finger amputation, time is of essence, we need to put back these fingers as quickly as possible, so reaching a good hospital where these facilities are done is of paramount importance. Both the doctors assured that it can be fixed, it required OT operation to be done on the fingers. So we went for the operation and the operation lasted for around 9 hours. In this case the patient reached our hospital within half an hour of the injury and they brought the part in the plastic bag in an ice box, so which helped us to put back the part. As soon as the patient reached, we got him to be fit for anesthesia. In the meantime, the part was taken into the theatre and prepared for replantation. Each and every structure in the finger was repaired starting from the bone, the tendons, the nose and the arteries and the veins and finally the skin was put back. This is regarding the re-implantation for the crushed fingers, specially after the motorbike accidents. Half late we have been seeing lot of these freak accidents in which the chain sprocket injuries to the fingertips are very common. There are two aspects, one is the injured patient, the other one is the injured part. Normally what happens during these place of injury, the injured parts that means the amputated parts or even the crushed parts, maybe it would have fallen on the ground or it would have got severely contaminated with grease or even with mud etc. So all we have to do is we have to just gently swipe and clean it off all the dust particles visible contamination with a saline gauze and keep it in a clean plastic cover, seal it perfectly and then put the entire amputated parts into the ice box. We have seen almost five to six such injuries which happened where the patient's hand gets caught in the chain when he is trying to clean the chain and this can result in damaging the hand very badly. In some cases it can even cause total amputation of the fingers, maybe one, two, three, four or five digits also if since the blood circulation is stopped to those fingers unless we put it back in time, there is no hope of getting those fingers back. Ideal time for a finger to be re-implanted is within the first six hours of the injury. However, we can extend it a bit as long as there is something called as cold ischemia if the finger is well preserved we may extend it a bit. The sooner the patient is brought to the hospital we are able to take care of it better.