These are the gruesome injuries sustained by a Newcastle-born musician after she almost lost her arm when a lorry drove over it.
Cellist Laura Armstrong's main artery was destroyed, meaning she needed a vein graft during emergency surgery.
What followed was a series of major operations, including an 11 hour procedure involving skin and nerve grafts. Almost two years on, she's still undergoing significant treatment.
Devastatingly, the 23-year-old's injuries also meant she was unable to continue with her master’s degree at the Royal College of Music.
Now she fears her injuries will prevent her realising her dream of becoming a professional cellist.
“I remember picking my arm up from the road and my fingers were white and wouldn’t move," said Laura, who now lives in London.
"There was blood on the road. It was terrifying and excruciatingly painful. I never imagined one could be in such pain.
She was on her way to meet friends for lunch the collision happened in October 2019.
A keen cyclist, she was riding through Stratford when a lorry driver turned left across the cycle lane, in order to turn onto a road. The lorry then collided with Laura and drove over her right arm.
Laura recalled: “The crash happened so quickly. I was cycling in the cycle lane and suddenly the lorry turned directly across my path and I ended up under the lorry.
“The surgeons told me they were very close to amputating my arm but they were amazing and managed to save it.
"As a musician, what they did for me goes beyond words and I will always be thankful.”
She remained in The Royal London Hospital for 12 days after the incident as she underwent extensive treatment.
She added: “What happened that day continues to affect me still, both physically and emotionally. The accident has had a huge impact on my ability to do everyday things, including having to learn to write with my left hand.
“I have very little feeling in my right hand and limited movement in my arm and my greatest challenge is not knowing what the future holds for my career and if I will be able to become a cellist. I have an incredible professor, Raphael Wallfisch, and the Royal College of Music has helped me throughout my recovery.
"Music is hugely important to me so I am determined to keep trying.”
Besides a series of grafts, two plates were inserted for a fracture. She's just recently undergone further surgery.
She was forced to defer her place whilst she underwent rehabilitation, putting the brakes on a promising career in which she toured Britain, Scandinavia and Singapore and performed with world famous conductors and composers including Sir Mark Elder and the late Oliver Knussen.
Laura instructed expert serious injury lawyers at Irwin Mitchell to help her access the specialist rehabilitation and therapies she requires.
And she's also joined the firm in supporting the consultation on changes to The Highway Code. One of the proposals - under rule H3 - will require motorists to give priority to cyclists when the driver is turning in or out of a junction or changing direction or lane.
Anna Pask, the specialist serious injury lawyer at Irwin Mitchell representing Laura, said: “Laura has faced an incredibly difficult time as she has attempted to come to terms with her injuries and the impact they’ve had on her life.
“The team at The Royal London did a fantastic job in saving Laura’s arm and while she has made progress in her recovery to date, she still faces many challenges ahead and will never regain full use of her arm.
“Given we represent people on a daily basis whose lives have been shattered as a result of death or serious injury on our roads, we support the proposed changes to The Highway Code as a welcome revision to assist all road users and improve road safety.
“We’re determined to support Laura so she can make the best possible recovery.”
The proposed new Rule H3 sets out that drivers should not cut across cyclists going ahead, when turning into or out of a junction, or changing lane. This applies to cyclists using a cycle lane, cycle track or riding ahead on the road. Drivers should give way.
And although Laura has not returned to cycling since the collision, she says: “Cycling is more popular than ever and is important to ensure people remain active. So it’s vital that everyone feels safe on the roads.
"The proposed changes to the Highway Code could definitely help.”