Objective:To further discussion the results of the free transplantation of dorsal flap of the foot repair hand trauma.Methods:From Feb,1990 to Nov,1995,single or combined and com- plex dorsal flaps of the foot were used to repair 32 trauma of hand.a.Results:The follow-up visit was 1 year to 5 years,all flaps survived.Skin graft on donor sites grew healing.The wounded hand can move well and has a good recovery of sensation and looks.There is not influence on the function of the foot.Conclusions:The limit of repairing hand trauma in a large area can be solved by using combined dorsal flaps of the foot.The problem that skin graft on donor sites can't grow union ideally can be solved as long as aponeurosis and periosteum are kept completely and binding up the wound with double pressure.Dorsal flap of the foot is the ideal flap nowadays to repair hand trauma.