A neurovascular pedicled triangule island flap was used to repair fingertip defects in thirty-nine fingers.The Iargest defect was 12×24mm 2 The flap could be displaced from 8mm to 18mm.The donorsite need no skin graft.Twenty-eight fingers were followed from three to eightern months after operation.Excellent result was obtained with regard to the sensation recovery and external appearance.The two-point discrimination of the palmar skin of injuried finger was recovered in three to six moths postoperatively.