Objective To explore the clinical effect of the finger dorsum cutaneous nerve and fascia pedicle flap for repairing fingertip soft tissue defect and bone exposure.Methods Twenty one cases with finger soft tissue defect were repaired with the finger dorsum cutaneous nerve and fascia pedicle flap.The survival rate,texture,colour,and sensibility of the flap were observed.Results All cases were followed up from 5 to 11 months with an average of 8 mouths.All flaps were survived and the bone exposure was repaired excellently.The flap obtained satisfactory appearance,good function and cosmetic results.Pain and warmth sensation of the flaps recovered completely.Conclusion Repairing defect of fingertip with island flap of dorsal branch of digital nerve can provide good texture and contour matching the recipient area little injuries.