Daniil Medvedev has come from a set behind to beat Jannik Sinner in the Rotterdam Open final and land his 16th ATP Tour title.

A 5-7 6-2 6-2 win for Medvedev gave the 27-year-old Russian his first trophy of the year in the Dutch ATP 500 indoor event on Sunday, extending his career head-to-head record to 5-0 against the young Italian star.

The run from Medvedev this week has secured his return to the top 10 in the rankings, with the former No.1 set to go up three places to No.8 on Monday.

Medvedev said after his win: "Thanks to all members of my team who are with me no matter what: some tough moments, some good moments, and we continue growing.

"The last two times I played here were terrible, and I'm happy to make it better this year."

Medvedev and Sinner's past meetings had, curiously, all come on indoor hard courts, just like this one.

Sinner was coming off a title win last week at the Open Sud de France in Montpellier, so the 21-year-old was not wanting for confidence as he looked to finally register a win over Medvedev.

The Italian out-rallied Medvedev at the end of the first set to snatch the vital break, but he could not ride that momentum into the early stages of the second.

An early break then went the way of 2021 US Open winner Medvedev, whose remarkable defence was a key factor as the comeback gathered steam.

A double fault from Sinner handed Medvedev a 4-1 lead and a double break, nudging the match towards the decider.

When it came, first blood went to Medvedev as Sinner netted a backhand to give up a break in the third game.

The Moscow man saved a break point in the next game to stay ahead, and that setback left Sinner sapped, his challenge fading as Medvedev maintained an impressively high level.