Ilizarov external fixation. Surgical principles, nursing implications.

The role of the perioperative nurse in caring for a patient with an innovative procedure such as the Ilizarov device is challenging. Because of the problem fracture, the patient usually has had multiple unsuccessful surgical experiences and may express considerable concern and anxiety. As perioperative patient advocates, nurses must encourage patients to be their own spokespersons and to ask questions when they do not understand. The patient advocacy role becomes even more important when the patient undergoes a new procedure. It is our experience with this procedure that both patients and professional staff have many questions during the postoperative period. It is essential that the perioperative nurse establish a communication climate among the patient and members of the interdisciplinary team that promotes collaboration and problem solving on behalf of the patient undergoing this unique surgical procedure.