Introduction: Hand injuries typically need reconstruction in plastic surgery practice. (1) Tip region is the most injured area. Hand injuries mostly arise from traumas. Methods: In this study, the retrospective analysis of the 625 patients, who were operated because of tip amputation in our clinic between the years of 2013-2017, was carried out. The patients were not eligible for replantation. Results: The cause of the traumas was mostly industrial injuries. Finger jam was the common cause in the pediatric population. Composite grafts were used in cases with torn fingers (60%). Locoregional flaps and free flaps were applied in cases which had no torn fingers. Discussion and Conclusion: Reconstruction of hand injuries is very important because of the feeling, touching, grasping and holding functions of the hand. Functional reconstruction should be performed in such tip amputation injuries.