Abstract: ［Abstract］Objective　To observe the curative effect of repairing the distal foot skin and soft tissue defect by using flap. Methods　We used nutrient artery flap and low external ankle to repair the foot distal skin soft tissue defect in 16 cases. Results　The flap survived， necrosis happened in small skin edge part and distal skin flap of sural nerve nutrient artery flap in two cases， and the skin graft healing with dots after removed the necrotic tissue and changed dressing. 16 cases were followed up for 3-16 months， 2 cases of flap slightly bloated，1 case back to the hospital got thin skin flap repairing technique；14 cases of walking were as usual，2 lame cases，related to some tissue defect in patients with forefoot injury. The use of flap to repair the foot injury，could maximially recover the limb function，reduce the rate of the sick. Conclusion　Skin flap is a kind of operation which is simple，with smaller cost for skin area，beautiful and effective to repair skin and soft tissue defect of foot.