Formula One star Robert Kubica underwent nine hours of surgery on his foot and arm on Friday.
Kubica was badly injured in a crash during the Ronde di Andora rally in Liguria on Sunday.
He was airlifted to hospital and underwent seven hours of surgery to save the functionality of his hand.
And a new operation to rebuild his foot, shoulder and the inner part of his elbow on Friday lasted even longer.
"We finished the second surgical intervention on his upper arm, which was already compromised in a previous accident," said orthopaedic surgeon Dr Francesco Lanza.
"We gave him a bone graft and inserted a plate. We operated on
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