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Hugh Owen Thomas was born in 1834. He came from 7 generations of bone-setters, originally from Anglesey in North Wales. He was apprenticed to his uncle, Dr Owen Roberts, at St Asaph in North Wales, in 1851. He studied medicine at Edinburgh University, and University College London. He become a Member of the Royal College of Surgeons of England in 1857. He went to Liverpool in 1858, to help his father, and set up his own practice in 1859. He spent most of his working life in the slums of Liverpool treating the poor. From 1870, he ran a free clinic on Sundays, where he treated dockers, shipyard workers and seamen. In the treatment of tuberculosis and fractures, he strongly advocated the use of rest which should be 'enforced, uninterrupted and prolonged'. His ideas were published in Diseases of the hip, knee and ankle joints, with their deformities (1875). This was at a time when it was often suggested that excision or amputation were the solution for chronic bone disorders. In order to achieve rest and immobilisation he invented several types of splints that were manufactured in his own work shop by both a blacksmith and a saddler. He also invented a wrench for the reduction of fractures and an osteoclast to break and reset bones. He was elected a member of the Liverpool Medical Institution in 1876, published many works on orthopaedic surgery, and was given an honorary degree by the University of St Louis. He died in 1891.