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Is YV plasty recommended for an elderly person?

Q: Would you recommend YV plasty surgery on an 80 years old man? He has had two knee replacements that have left him with only 50 degree motion. Are there any downsides to this procedure?

A:The decision depends on how much the patient is hampered by the contracture that needs YV plasty. Surgery at that age has a few risks, but the major problem is that after surgery the patient will have to immobilise the part on, which YV plasty is done. If this part is the leg, the patient will be bedridden for many days, and this is a big issue in the elderly.


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