29-year-old male presented to ER with a cut to his Rt middle | Figure 1

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Orthopedic Surgery Resident

29-year-old male presented to ER with a cut to his Rt middle finger distal phalanx just below the level of nail bed.

Bone was exposed at the remaining distal phalanx with skin loss down to the level of DIP.

Distal phalanx disarticulation was done under LA(digital block) with volar V-Y advancement of the skin to cover the exposed bone.