Objective To explore the clinical efficacy of repairing finger defects with the radial perforator flap of the dorsal interosseous artery.Methods A total of 62 patients with finger soft tissue defects admitted to our hospital from March 2019 to December 2023 were selected,all of whom were repaired using the radial perforator flap of the dorsal interosseous artery.The intraoperative conditions and postoperative skin flap temperature,pain level,and joint range of motion were observed.Results All 62 patients with finger defects were directly sutured in the flap donor area.Followed up for 5-12 months postoperatively,with an average of 7.5 months,resulted in 62 skin flaps surviving with a survival rate of 100%.The differences in skin flap temperature,VAS score,and joint range of motion(palm flexion,back extension)among patients at 1 week,2 weeks,3 months,6 months,and 1 year after surgery were statistically significant(P<0.05).Conclusion The repair of the radial perforator of the dorsal interosseous artery flap has certain application advantages in the treatment of finger defects.It not only has good blood supply to the flap and a high survival rate,but also promotes rapid recovery of finger function and sensation in patients,reduces postoperative pain symptoms,and is worthy of clinical promotion.