22-year-old male patient from Turkey, who was a wrestler, applied to the Emergency Service with joint open dislocation in finger due to a ball hitting his extension in his right hand, while he was playing football as a goalkeeper without gloves in an astro pitch. He had a proximal interphalangeal joint dislocation injury in his hand in the 4th finger in radial side stretching to the proximal phalanx and accompanied by nearly 1,5 centimeters laceration (Figures 1, 2, and 3). There was no neurovascular deficit in the finger of the patient. Washing and debridement were applied to the open joint of the patient. There was damage in the volar plate and in radial side collateral ligament. The volar plate and collateral bond fixation were applied with absorbable 5-0 PDS (PDS, Ethicon, San Angelo, TX, USA) sutures and with no need for periosteum pull-out sutures with the modified Kessler suture technique. After the reduction, the patient was kindly taken to the PIP joint extension application and the joint stability and neurovascular examinations were performed. Postoperative proximal interphalangeal joint was stable and to prevent joint from Kirschner wire traumas, Kirschner wire fixation was not implemented (Figures 4 and 5). Dorsal aluminum split was applied to the patient in postoperative 30 degrees flexion. The patient was given a postoperative antibiotherapy and wound area was examined. In the 4th week he was taken to the physical treatment program. At the end of the 6th month, the patient was able to start his active sport life fully again. Finger's flexion and extention range of motion was full degrees (Figure 6). However there was no stiffness, pain, or chronic instability. In addition, postoperative scarring was minimal.