I don't think so.
Katsuyu to Sakura: I'm sure Tsunade sama will be ( not would be ).... so proud of you . This hints Katsuyu already fixed Tsunade. Why is she in bad shape? Because she is run out of chakra. And when she is run out of chakra she looks like an old hag.
Well at least this kind of fleshback would be interesting. We don't know how Madara defeated the Gokage, and we don't know where and what state are they.
Warning!
The characters are in their BASE form. So no Bijuu/ Sage Mode or others power- ups are included!
Hokages
Team 7
The Gokage
Villains and the Akatsuki
Previous Kages
[CENTER]I'll continue making the K11 and some important jounins.
Restrictions: Edo Tensei and KA
Knowledge: manga
Battlefield: Valley of the End
Starting distance: Tsunade and Sasuke are on Hashi's head, Danzo and Orochimaru are on Madara's head
Conditions: Danzo's arm is unsealed. Orochimaru is healthy ( but he has no Hashirama's cells )
Madara has MS. He isn't edo, he has no mokuton, he has no rinnegan, he has no Kurama. This is the strongest version of Susanoo he can use in this battle.
Tsunade is alive and healthy.