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Purpose: This article reports a new surgical technique applied to treat a patient with chronic comminuted intra-articular volar middle phalanx base fracture of the 3rd finger. This technique uses the tibial sesamoid bone as an osteochondral graft and is characterized bya long-term follow-up. Methods: The outcomes of the procedure applied on one patient before 10 years were evaluated clinically and radiographically. Besides that, the disabilities of the arm, shoulder and hand (DASH) scoreand the foot function index (FFI) score were used to grade respectively both his hand and foot. Results: The patient had a full range of motion (ROM) 10 years after the surgery. DASH score was 0/100 while FFI was 0/170. Conclusion: This technique was easy and cheap. It resulted in good clinical and functional outcomes with no complications 10 years post-operation. Level of Evidence: Level IV

Tibial Sesamoid Graft as a Treatment for Chronic Unstable Proximal Interphalangeal Joint Fracture Dislocation, a New Surgical Technique