Background: Total circumference degloving injury of the digits usually results in a large cutaneous defect with tendinus structure and bone and joint exposure. A thin and adequately sized fl ap is required when revasculization is not possible to resurface the defect, restore the fi nger function, and prevent amputation. Materials and Methods: In this report, we present our experience on reconstruction of total circumferential degloving injury on the digits using free radial forearm (RF) fl aps in 6 patients. Between February 2006 and January 2011, 6 male patients with circumferential degloving injury of 6 digits underwent reconstruction with the free RF fl aps. The average fl ap size was 15.8�~7.1 cm. Donor sites were covered with split-thickness skin graft (STSG). Results: All of fl aps survived completely and donor sites healed without complications. The mean follow-up period was 22 months. A maximum Kapandji score (10/10) was seen in 2 cases with crushed thumbs. All patients could achieve good key pinch and grasping functions. All skin fl aps showed acceptable static 2-point discrimination with an average of 10.2 mm (range, 8–12 mm) and adequate protective sensation. Patient satisfaction for resurfaced digits averaged 9.3 (range, 9–10 mm) on a 10-points visual analogic scale (VAS). Conclusion: In conclusion, the free RF fl aps were thin and did not interfere with fi nger movements. The patients could attain smooth fi nger contours and acceptable function results after reconstruction. This method may be a valuable alternation for reconstruction of total circumference avulsion injury of the digits.