Objective:The clinical results of 5 types of flaps for the coverage of soft tissue defect of the thumb were presented.Methods:From January 2001 to December 2008

63 patients had accepted thumb reconstruction with 5 types of flaps

47 cases of emergency surgery and 16 cases of delayed surgical repair.Results:57 flaps of fingers survived well;4 flaps necrosed partly

the wound healed by changing the dressing;2 flaps necrosed completely

then other flaps were choosed to treat the defects.The flaps were followed up for 3 months to 5 years

and the contour and function of the injured digits were satisfied.Conclusion:Conditions of the patients

as well as function and appearances of donor and recipient site shound be taken into consideration when a flap is chosen.