Open fracture is one of the common health care problems in clinical orthopedic practice. Incidence of open fracture rate is increasing, especially in working age groups in industrialized society. Treatment of open fractures is still challenging since surgeons have to tackle not only fracture and also risk of infection, soft tissue coverage and neurovascular injury. Traditionally, external fixator (EF) device was used to fix the open fracture as an emergency or definitive management. In recent years, there was the introduction of locked compression plate (LCP) as an alternative to the conventional external fixator. There are not too many studies regarding the outcome, biomechanics and complications regarding LCP as an external fixator. Based on the available resources, we have reviewed some journals. We would like to comment that usage of LCP as an external fixator in the treatment of long bone fractures shows acceptable outcome. There is no significant difference in operation time between LCP and EF. The rates of union and complication are comparable to that of the conventional external fixator. There is no enough report about a biomechanical comparison study between LCP and EF. Patient acceptance may be higher in LCP than in EF however; there is very little research for the time being. We would like to recommend further research in this area.

A conducive educational environment is vital to successful learning. Perception of students about their particular educational environment may vary depending on their educational background, gender, level of study, and many other factors. Awareness and understanding of the students' perception of educational environment are a key to improve our teaching and learning environment. The aim of the study was to determine the perception of undergraduate medical students of Taylor's University, Malaysia on their educational environment. A cross sectional cohort study was conducted among preclinical and clinical students simultaneously at Taylor's University, School of Medicine in July 2019. Overall total scores of perceptions (136.55 ± 19.6) and those for the subscales were very satisfactory and similar to those of other local universities as well as international universities. There was a significant difference between preclinical and clinical students in two domains; Perception of Course Organizers and Academic Self-Perception, with higher scores among clinical students in all. There was a significant difference between students with Grade 'B' and those with Grade 'C' in the mean total score and Perceptions of Atmosphere. These results, in spite of being satisfactory, urge us to seek methods of and opportunities for further enhancement of the students' education environment.

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