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(A, B) A 50‐year‐old woman sustained a mutilating injury of her right hand. (C, D) A free adipofascial flap of the anterolateral thigh was used to provide appropriate wound coverage (E) The flap was compromised, and a large area of unviable tissue was found. (F) Adjunctive hyperbaric oxygen therapy enhanced tissue survival. (G) Most hand function was preserved with a satisfactory cosmetic result.
