Figure 1. A. A 32 years old male patient, 12 days after an injection injury of his right index with fuel oil. The patient was treated conservatively in another hospital for the past days and presented to our hospital with a necrotic fingertip and with signs of pyogenic tenosynovitis and septic arthritis of the DIP.B. The patient underwent arthrodesis of the DIP joint and coverage of the fingertip with a heterodigital island flap.C. Result 3 months postoperatively.