目的　探索游离足第2趾甲背皮瓣联合对侧第2趾胫侧皮瓣瓦合修复单手指I度脱套伤的临床效果。  方法　2009年3月至2012年6月，我科采用游离足第2趾甲背皮瓣联合对侧第2趾胫侧皮瓣瓦合修复单手指I度脱套伤13例13指，并进行了随访。  结果　本组13例13指移植瓦合的皮瓣全部成活，经过6~24月随访，皮瓣颜色与正常手指相同，皮瓣无明显萎缩及色素沉着，除1例外形欠佳外，其余12例外形美观，13例指甲均生长良好，感觉恢复2-PD 6~10 mm,术后经理疗和功能锻炼，远指间关节伸屈活动良好，参照中华医学会手外科学分会拇、手指再造功能评定试用标准评定：优8指，良4指，可　1指，优良率为92.3%，供区植皮全部成活,无瘢痕挛缩，无破溃，足趾无垂趾畸形，足部活动无影响。  结论　游离足第2趾甲背皮瓣瓦合对侧足第2趾胫侧皮瓣是修复单手指I°脱套伤的一种理想方法。

Objective　To explore the treatment of class I degloving injuries of fingers with the free wrap-around flap of the second toe and the tibial flap of the opposite second toe.    Method　From March, 2009 to June, 2012, our department used the free wrap-around flap of the second toe and the tibial flap of the opposite second toe to repair class I degloving Injuries of fingers in 13 cases. All caes were followed up.    Results   After 6~24 months of follow-up, flaps underwent no significant atrophy, reconstructing full pulps; fingers were in good shape With nails growing well. The two-point discrimination was 6 to 10mm. According to the functional evaluation criteria by the Hand Surgery Society of Chinese Medical Association, the functional results were satisfactory in all patients (excellent in 8 cases, good in 4 cases, and satisfactory in 1 case ), achieving an excellent and good rate of 92.3%. Donor sites of the toes healed well without scar contracture and no gait disturbance.    Conclusion    Using free wrap-around flaps of the second toe and tibial flaps of the opposite second toe to repair class I degloving Injuries of fingers is an ideal method.