OBJECTIVE: To investigate the clinical value of using partial foot [nail flap or bicuspid flap free graft for end-joint finger deformity. Methods: Based on the characteristics of the finger deformity and the shape and size of the skin flap to be transplanted compared with the healthy finger, the size and shape of the tissue flap to be cut from the foot and toe were designed. 11 cases and 13 fingers were clinically applied from August 2007 to July 2008, including 1 case of atrophic deformity of the terminal segment of the finger, 2 cases of finger tumor, 7 cases of post-traumatic deformity, and 1 case of deformity of the terminal segment of the finger after osteotomy. The foot [(nail) flap was cut in 8 cases and 8 fingers, the second toenail flap was cut in 1 case, and the combined nail flap and second toe flap was transplanted in 2 cases and 4 fingers. The vessels were repaired by toe-finger artery anastomosis. The donor area was directly closed in 4 cases, and full-thickness skin flap grafting was performed in 7 cases. Results: All of the reconstructed fingers survived, and blood supply was restored in one case after intraoperative vascular graft repair by vascular excision due to intractable vasospasm. The postoperative follow-up ranged from 2 months to 1 year, and the sensory-motor and cosmetic functions of the reconstructed fingers were satisfactory. The appearance and function of the foot donor area were satisfactory. Discussion: Clinically, there are cases of finger end deformities caused by various reasons. Although these patients’ fingers are intact, the deformities or diseases that exist cause poor finger appearance, which in turn affects the function of the fingers and also has a negative impact on the patients’ psychology. At present, the short finger reconstruction technology has reached the level of what is missing and can reach the point where it can be faked, which means that the appearance problem is basically solved. Since the proximal end of the finger is not damaged in these patients, the tissue environment of the vascular anastomosis plane is better, which can reduce the risk of surgery. Also, the tissue flap required to reconstruct the finger is smaller, with little loss of the donor area, and does not affect the function of the foot. However, it is the smaller tissue flaps that are cut that make the procedure more difficult. This is because the smaller tissue flaps can carry smaller vessels that are not easily dissected free. In addition, the small vascular caliber of the finger and toe vessels not only makes vascular anastomosis more difficult, but also predisposes to vascular crisis. Therefore, it is important to master strict surgical indications and avoid blindly expanding the scope of surgical applications. The author believes that: rich experience and skillful surgical technique are necessary for successful surgery, while prevention and treatment of vasospasm is an important guarantee for successful surgery. With proper application, revision finger reconstruction is the ideal method for end-joint finger deformity plastic surgery.