INTRODUCTION: Multidigital injuries pose a difficult problem for the hand surgeon, who must achieve the best anatomical and functional results possible. Among all hand traumas, injuries to digital pulp are frequent, resulting in exposed bone, and soft tissue defects. Recently we have treated a patient with a multidigital injury using a heterodigital neurovascular free flap raised from a non-replantable digit to reconstruct a severely injured index finger. CASE REPORT: A 24-year old right hand dominant male sustained a multidigital amputation injury when his hand was caught in a circular saw. The right index finger sustained 80 % pulp loss with exposed bone. The long and ring finger was severely damaged with non-replantable fragments. The amputated segment of the ring finger was used to provide a suitable free flap for coverage of the index finger pulp defect. SUMMARY/ CONCLUSION: We report a case of index finger pulp reconstruction following a traumatic multidigital injury. A heterodigital neurovascular free flap raised from the amputated non-replantable ring finger, was used successfully to provide a well padded sensate fingertip with good cosmetic appearance. A free flap taken from non-replantable fragments may be used in reconstruction of an injured digit minimizing donor site morbidity.