A severely mangling hand undergoing reconstructive tendon repair hand surgery following a traumatic rupture of four tendons and a severed nerve!!! This patient injured his flexor tendons which limited his ability to bend his fingers. The surgery was performed in order to improve lost hand function. Tendon injury is usually caused by a penetrating injury to the hand or fingers, typically due to laceration or puncture wound, but have also been seen in blunt impact or crush injuries where no sharp cuts are identified. Evaluation of strength and range of motion confirmed the diagnosis and repair was done where the two ends in the tendon were sutured back together. When that is not possible, another functioning tendon is shifted from its original attachment to the damaged area to restore the ruptured tendon and action that has been lost.