根据前臂筋膜皮肤血管的解剖特点，设计了前臂筋膜远端蒂岛状皮瓣。经皮肤明道切口逆行转位修复手部软组织缺损６例，获得较好效果。认为由穿动脉、筋膜下动脉和皮下动脉构成的前臂筋膜动脉网是本皮瓣存活的解剖基础；皮瓣利用前臂主干血管的穿支和深、浅筋膜的细小血管为血供来源，具有对手部主要供血动脉无损伤的优点。文中对皮瓣切取方法、适应症和手术要点进行了介绍和讨论． According to the anatomical features of forearm fascia skin vessels, the distal island flap of forearm fascia was designed. Transdermal incision retrograde incision transposition repair soft tissue defects in 6 cases, get better results. It is considered that the forearm fascia arterial network composed of perforating artery, subfascial artery and subcutaneous artery is the anatomic basis of the survival of the flap. The flap uses the perforating branch of the main forearm blood vessel and the small vessels of the deep and superficial fascia as the source of blood , With the main hand of the donor artery without injury advantages. Paper cut method, indications and surgical points were introduced and discussed.