A surgical tool for performing at least one of relative compression and expansion of a first bone fragment and a second bone fragment in cooperation with a fixation plate, at least one fastener (90, 91), and a fastener driver having a first end and a shaft, the surgical tool comprising: a first handle member and a second handle member, the first and second handle members being pivotally attached to each other about a pivot; a fixation plate engaging member coupled to the second handle member and configured to releasably engage at least a portion of the fixation plate; a driver engaging member pivotally attached to the first handle member and permitting at least one of replaceable and permanent securement of at least a portion of the fastener driver to the surgical tool, at least a portion of the fastener driver being angularly moveable relative to at least a portion of the first handle member upon securement of the fastener driver to the driver engaging member; wherein relative movement of the first and second handle members (30, 20) causes a spacing between the fixation plate engaging member and the first end of the fastener driver to be altered; wherein, following securement of the fastener driver to the driver engaging member, engagement of the fixation plate engaging member to a portion of the fixation plate, and engagement of the first end of the fastener driver to a head of a fastener extending (90, 91) through a portion of the fixation plate, alteration in spacing between the fixation plate engaging member and the first end of the fastener driver occurs along an axis parallel to a longitudinal axis of the fixation plate; characterized in that the first handle member has a slot permitting at least a portion of the shaft of the fastener driver to be disposed therein upon pivoting movement of the driver engaging member and angular movement of the fastener driver relative to the first handle member, such that as the first and second handles (20,30) are drawn together, the shaft of the fastener driver moves within the slot from a position near the pivot to a position closer to the distal end of the first handle member. a first handle member and a second handle member, the first and second handle members being pivotally attached to each other about a pivot; a fixation plate engaging member coupled to the second handle member and configured to releasably engage at least a portion of the fixation plate; a driver engaging member pivotally attached to the first handle member and permitting at least one of replaceable and permanent securement of at least a portion of the fastener driver to the surgical tool, at least a portion of the fastener driver being angularly moveable relative to at least a portion of the first handle member upon securement of the fastener driver to the driver engaging member; wherein relative movement of the first and second handle members (30, 20) causes a spacing between the fixation plate engaging member and the first end of the fastener driver to be altered; wherein relative movement of the first and second handle members (30, 20) causes a spacing between the fixation plate engaging member and the first end of the fastener driver to be altered; wherein, following securement of the fastener driver to the driver engaging member, engagement of the fixation plate engaging member to a portion of the fixation plate, and engagement of the first end of the fastener driver to a head of a fastener extending (90, 91) through a portion of the fixation plate, alteration in spacing between the fixation plate engaging member and the first end of the fastener driver occurs along an axis parallel to a longitudinal axis of the fixation plate; characterized in that the first handle member has a slot permitting at least a portion of the shaft of the fastener driver to be disposed therein upon pivoting movement of the driver engaging member and angular movement of the fastener driver relative to the first handle member, such that as the first and second handles (20,30) are drawn together, the shaft of the fastener driver moves within the slot from a position near the pivot to a position closer to the distal end of the first handle member.