Former Formula One driver and Paralympic champion Alex Zanardi has undergone further neurological surgery after being seriously injured in a handbike accident last month.
It was a third operation for the 53-year-old Italian, who remains in a medically-induced coma, after being hit by a vehicle during a handbike race in Siena on June 19.
The hospital in Siena said Zanardi underwent facial reconstruction surgery for five hours.
"The patient has undergone a new surgery aimed at cranio-facial reconstruction and stabilisation of the areas affected by the trauma," said Professor Paolo Gennaro, director of the Siena university hospital's maxillofacial surgery unit.
"The fractures were complex.
"This required careful programming that made use of computerised, digital and three-dimensional technologies, made to measure of the patient.
"The complexity of the case was rather singular, even if it is a type of fracture that we routinely face in our centre."
Zanardi is an inspirational figure in motorsport and Paralympics after he had to have both of his legs amputated above the knee following a horrific crash in a Champ car race in Germany in September 2001.
He later turned to paracycling and won four Paralympic gold medals.
Ferrari raced Sunday's Austrian Grand Prix with messages of support for Zanardi on both its cars.
Australian Associated Press
