Bonesetting, a most ancient healing art, was absorbed into orthopaedic surg
ery approximately 120 years ago when Hugh Owen Thomas, a medical doctor spe
cializing in pediatric deformities, assumed his father's nonmedical boneset
ting practice. In many nonWestern nations, however, traditional bonesetters
continue to treat large numbers of patients. Current market forces in the
United States threaten to reduce the role of orthopaedic surgeons in the ma
nagement of fractures not requiring surgery, leading to the possible reemer
gence of bonesetting as a separate and independent discipline.