Ring avulsion injuries are very difficult injuries to treat. Often they involve an injury to the blood vessels, tendons, and even the bones of a finger, so pretty much every level of the finger's anatomy is injured. Often times an attempt is made to reconnect all of those different structures. The tendons are repaired, the blood vessels are repaired, the skin is repaired, and the bones are fixed, if possible. Unfortunately, often times, these injuries have to result in a surgical amputation even further back from where the injury started, so that the skin can be closed and you have a functioning hand.