ABSTRACT
<p><b>OBJECTIVE</b>To explore the better method of repairing the soft tissue defect of the distal foot.</p><p><b>METHODS</b>The soft tissue defect in the distal foot of six patients were repaired by the distally based dorsum pedis island flap pedicled with the bust deep artery and(or) the first dorsal metatarsal artery.</p><p><b>RESULTS</b>Six patients were repaired in one stage, the biggest defect was 8 cm x 6 cm, all patients were followed-up 1 to 4 years, the function of foot was evidently improved, the patients were all satisfied with the operative results.</p><p><b>CONCLUSIONS</b>The bust deep artery and (or) the first dorsal metatarsal artery, with reliable blood supply, were easily dissected and with good texture. So far this kind of flap is a good choice in repairing the defects of the soft tissue in the distal foot.</p>