MATTER FOR DEBATE
Nurses in surgery: opportunity or threat? A personal view W. J. G. Murray

REVIEW ARTICLE
The management of femoral and tibial diaphyseal fractures C. M. Court-Brown

GENERAL SURGERY SECTION
Use of a general surgical high dependency unit in a district general hospital: the first 10 years R. Coggins, C. H. Parkin and L. de Cossart

Can we improve the uptake of gastroscopy in the population at risk for gastric cancer? The effect of home letter information P. MeCulloch, E. Williams, C. MeCulloch and D. Mullins

The diagnostic value of symptoms and signs in childhood abdominal pain N. M. A. Williams, J. M. S. Johnstone and N. W. Everson

Local recurrence foilowing rectal resection for cancer K. W. Eu, F. Seow-Choen, I. M. S. Ho, Y. H. Ho and A. F. P. K. Leong

Blood utilization in hip and knee arthroplasty: a cost minimization study A. Gower, A. I. Hussein, P. I. Briggs and M. S. Dewar

Correspondence

Book reviews

ORTHOPAEDIC SURGERY
Meniscal regeneration in the long-term after total meniscectomy? S. L. Barker, M. J. MCNicholas, D. Kader, P. Abdon, T. Adalberth, D. McGurty, D. I. Rowley and C. M. Walker

To drain or not to drain: literature versus practice A. Chandratreya, K. Giannikas and P. Livesley

Chymopapain chemonucleolysis: a review of 105 cases A. R. Poynton, D. A. O’Farrell, D. Mulcahy, N. T. Corrigan and F. McManus

CASE REPORTS
The painless fracture: could it be TB? A. D. Reading and I. G. Stother

Microcystic adnexal carcinoma: a report of three cases K. Kumar, J. C. McGregor and I. D. Watson

Ankle fractures in diabetics M. Parikh, N. Slater and C. Walker

Gossypiboma revisited: a case report and review of the literature A. P. Zbar, A. Agrawal, I. T. Saced and M. R. A. Utidjian

A non-fatal impalement injury of the thorax W.-H. Chui, D. L. C. Cheung, S. W. Chiu, W. T. Lee and G. W. He

Pancreatic inflammatory tumour: a rare entity in childhood K. R. Shankar, P. D. Losty, M. M. Khine, G. L. Lamont and H. P. McDowell

Primary hyperparathyroidism presenting with pathological fracture R. G. Deshmukh, S. A. L. Alsagoff, S. Krishnan, K. S. Dhillon and A. S. M. Khir