Tendocutaneous free flap transfer has usually been used to treat troublesome wounds, such as extensive defect of skin and tendons. The tendocutaneous flap is frequently obtained from dorsum of the foot. It consists of dorsalis pedis artery, saphenous vein, the branch of the superficial peroneal nerve, long extensor tendons as many as needed and overlying skin. We analysed 13 ceses of skin and tendon loss of dorsum of the hand and wrist, treated with the tnedocutaneous free flap from dorsum of the foot, from March 1981 to November 1990. The size of flap was from 6×5cm to 11.5×7.1cm (average, 9.2×5.9cm), and the transferred tendon was one to five in number (average, 2.9), and 5cm to 17cm in length (average 9.2cm). The transferred flaps survived in all cases and the transferred tendons were functioning well except in two cases of electric burn. The extension lag was 11.3° and pulp to plam distance was 1cm in average. Complication inclucled 2 cases of tendon adhesion and one case of the marginal necosis of the flap, and three cases of donor site wound problems.