The patient fell off his motorbike going over the handle bars and his hand got caught in the chain and back sprocket, causing severe injury to his index finger. Replantation was unfortunately not an option and stump formation was performed. Management of finger amputations varies in relation to the number of fingers amputated, the phalangeal level at which the amputation has occurred and the integrity of the soft tissue remaining. If the amputation is extensive, the detached extremity is preserved under sterile and moist condition for a possible replantation. A soft tissue graft taken from other body parts may be required in case of abundant tissue loss. The goal of surgery is to create a suitable anatomy to eventually fit a finger prosthesis if replantation is not possible.