Fingertip injuries are frequently seen and there are many treatment options. Small defects with limited exposure of the bone can be treated conservatively with healing by secondary nature. Good results can be achieved with standard dressings or a semi-occlusive dressing. With larger defects, surgical treatment is needed. Local advancement flaps can be used when there is sufficient local tissue. If this is not present, a pedicle flap or tissue transfer is needed. The non-microsurgical refixation of the amputated part as a composite graft yields excellent results in children. It is, however, not frequently used in adults, due to the less favourable results. In this case report, an Allen type III fingertip amputation was successfully treated by non-microsurgical re-fixation of the amputated fingertip. At final follow up, 18 months after injury, there was a satisfactory aesthetic and functional result. Although smaller in size, the fingertip resembled the other fingers with normal nail growth. Sensibility had recovered moderately and cold intolerance was present. However, the patient was very satisfied with the result and did not experience any limitations during daily activities.In conclusion, the use of a composite graft in Allen type III fingertip injuries is a viable option in selected cases.