Complete circumferential degloving injury of the digits usually results in a large cutaneous defect with tendinous structures, bone and joint exposure. When revascularization is not possible, a thin and adequately sized flap is required to resurface the defect, restore finger function, and prevent amputation. This report presents our experience with reconstruction of the entire circumferential degloving injury of the digit using a free sensate medial sural artery (MSA) perforator flap. The donor site was covered with split-thickness skin graft (STSG) and healed without complications. Furthermore, the MSA flap was thin and did not interfere with finger movements. The patients could attain smooth finger contours, acceptable function results, and adequate protective sensation after reconstruction. Patient satisfaction for the resurfaced digit scored 9 on a 10-point visual analogic pain intensity scale. This method may provide a valuable alternative for reconstruction of entire circumferential avulsion injury of the digit.