At initial presentation, physical examination showed an open injury of the ring finger with flexion deformity of the distal interphalangeal joint and involvement of the nail bed. The clinical and radiographic findings were consistent with a Seymour fracture. Operative management is indicated and the patient immediately underwent irrigation and debridement, open reduction and percutaneous fixation of the fracture. Intraoperatively, the nail plate appeared well adhered to the nail bed, so the nail was left in place and sutured to the proximal skin. Eventually, a new nail grew in underneath and replaced the injured nail without a cosmetic defect.