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Objective:To present a method of thinning and nerved anterolateral thigh flap in the reconstruction of dorsal defects of the foot.Methods:A total of 28 cases of dorsal skin defects of the foot was repaired with the anterolateral thigh flap containing the lateral femoral cutaneous nerves.Corresponding vessels and sensory nerves were anastomosed.Results:All flaps survived.Sensory of the flaps recovery.The donor area had no significant effect on.Conclusion:.The nerve position was constant.The flaps are feeling,wear resistance.The shape of the flap are excellent.