Abstract:[Objective] To explore the clinical effect of the flaps pedicled with dorsal branch of digital artery and recurrent branch of dorsal metacarpal artery in emergency repair of volar soft tissue defect of middle and distal phalanxes of finger. [Methods] The prospective study was used. From May 2015 to August 2020,a total of 46 cases (46 fingers) with volar soft tissue defect of middle and distal segments in 2 ~ 5 fingers were admitted to our hospital. They were divided into two groups by drawing lots, which were repaired by the dorsal branch of digital artery flap (dorsal digital branch group) and recurrent branch of dorsal metacarpal artery flap (dorsal metacarpal recurrent branch group). The data of perioperative period and follow-up were compared between both groups. [Results] All the patients in the two groups were performed surgical procedures successfully without serious accidents. The dorsal metacarpal recurrent branch group was significantly superior to the dorsal digital branch group in donor-site closure (P < 0.05), whereas there was no significant difference between both groups in operation time, flap survival area at 1 week postoperatively, donor-site incision healing, time to remove stitch and hospital stay (P > 0. 05). All patients were followed up, and there was no significant difference between the two groups (P > 0. 05). The static two-point discrimination and appearance satisfaction in the dorsal digital branch group were better than those in the dorsal metacarpal branch group (P < 0.05), and there was no significant difference in total active motion of finger joints between the two groups (P > 0. 05). [Conclusions] Compared with the recurrent branch of dorsal metacarpal artery flap, the dorsal digital artery flap has better sense and appearance, and is more suitable for emergency repair of volar soft tissue defect of the middle and distal phalanxes of the finger.