A combined compressor and distractor tool is provided that includes a mechanism capable of switching the mode of operation of the tool from a compression tool to a distraction tool. The tool includes engagement tips and handles at opposed ends of the tool that are pivotally connected to a central shaft. A saddle is slidably mounted on the shaft between and pivotally connected to the handles. When the saddle is engaged with the shaft in a before center position, squeezing the handles results the movement of the shaft forwardly to operate the engagement tips as a distractor. However, when the saddle is engaged with the shaft in a past, or over center position, squeezing the handles results the movement of the shaft rearwardly to operate the engagement tips as a compressor.
