We report a case of staged flexor tendon reconstruction using a silicon Hunter tendon rod implant. This implant is placed during the first stage of the two-stage procedure to facilitate formation of a pseudotendon sheath. The implant is removed and the tendon graft placed during the second stage of the procedure. Radiography after the first stage of the procedure assesses healing of concomitant bony injury and evaluates the position and integrity of the tendon implant. It is important that radiologists recognize the Hunter tendon rod implant and understand potential complications when interpretating images in these patients.