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Fingertip injuries are extremely common injuries and generally result from blunt or crushing trauma that causes compression of the nail plate to the underlying bony surface. This may result in nail plate disruption, nail bed laceration, volar pulp loss or even amputations. Modified dorsal tension band suture technique is a well established, simple and useful procedure for the management of dorsal element disruptions. Partial or complete nail plate avulsion, nail bed lacerations with or without fracture of the distal phalanx can be treated by this technique. We treated 260 patients with 288 fingertip injuries by modified dorsal tension band suture technique that resulted in the reformation of normal nail plate. All patients showed excellent aesthetic and functional outcome and returned to their pre-injury occupational activity. The purpose of presenting this article is to evaluate and document the clinical outcome associated with this simple surgical technique which does not require specific hand surgery training. Keywords: Finger tip injury; nail bed laceration; partial nail plate avulsion; complete nail plate avulsion; figure of 8 loop.