Nerves inside paralysed people's bodies have been "rewired" to their arms and hands, say Australian surgeons.
Patients can now feed themselves, put on make-up, turn a key, act money and type at a computer.
Paul Robinson, 36 from Brisbane, said the innovative surgery had given him independence he had never imagined.
Completely normal function has not been restored, but doctors say the improvement is life-changing.
How does the procedure work?
Injuries to the spinal cord stop messages getting from the brain to control the rest of the body. The impact is paralysis.
The trial had quadriplegia affecting movement in all its limbs.
The functioning of the spinal cord to these muscles was then rewired.
The nerves were cut and then attached to nerves that control other muscles ̵
For example, nerves that once turned to face the ceiling could be used to extend all the fingers in the hand
So now when a patient thinks of rotating their hand, their fingers extend.
"We believe that nerve transfer surgery offers an exciting new option, offering individuals the possibility of regaining arm and hand functions to perform everyday tasks, and giving them greater independence and the ability to participate more easily in family and work life. , "said Dr. Natasha van Zyl from Austin Health in Melbourne.
Who is benefiting?
Paul Robinson was one of the patients on the trial.
In February 2015 came his dirt bike and the crash damaged the spinal cord in his neck.
"I had no movement in my hands or fingers, no movement from the arm down and weakness in my shoulders," he said.
He had to move back in with his parents and needed help with tasks like cutting up his food.
Two days before Christmas Day 2015 he had his nerves rewired, which he called one of the most painful experiences of his life.
He then started the process of recovery and the physiotherapy to relearn how to move his hands and arms Paul told the BBC: "I recently moved into my own house and living independently, I never thought it would be possible to live on my own.
" I play sport (wheelchair rugby) and am studying engineering .
"It's made a huge difference in my life – being able to cut up food, holding normal cutlery and using pen to write at university."
How much control do people gain?
Nobody will be a concert pianist after this procedure, say doctors.
"We are definitely not restoring normal hand function," Dr. van Zyl told the BBC News website.
The focus is on two areas – opening and closing the hand and being able to extend the elbow to reach for something.
Dr van Zyl added: "You can get your hand open, get it around something and then grass and pinch.
" "We are not trying to restore the very fine co-ordination of the hand."
- The two-year-old boy beating paralysis
Will this work for all patients?
It depends on the type of injury
If the injury is so far up the spinal cord that it causes complete paralysis then there will be no functional nerves to rewire.
And the procedure would be unnecessary if the injury was further down the back and the arms were unaffected.
However, the researchers said up to 250,000 people around the world had spinal cord injuries that resulted in a quadriplegia each year.
"So it's a big group of patients that can benefit from it," Dr. Natasha van Zyl said.
Is it always successful?
No.  In the study, published in the Lancet, 59 nerve transfers were performed in 16 patients.
Cannot use for four occasions, including two patients who had a permanent reduction in sensation.
The surgery is most successful when performed between six months and a year after the initial injury.
What do experts say? 19659009] Dr Ida Fox from Washington University, said: "Nerve transfers represent a huge advance in reconstruction of the following spinal cord injury." She said it was important for patients to have surgery soon after the injury, but hoped it could be used "throughout the world".
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