A follow-up study was carried out on sixty one (61) leprosy patients who had extensor to Flexor Many tail surgery at Schieffelin Leprosy Research and Training Centre, Karigiri from 1975 to 1976. After analysing the data, it was noticed that the amount of clawing reduced considerably. Secondly the over all assessment was good for 70% of the hands. But the deformities such as intrinsic plus, deviation of fingers, M.P. extension, Limitation, I.P. Flexion Limitation and loss of fingers showed an increase in number post-operatively when compared to the pre-operative deformities. The reasons for these effects are discussed in this paper.
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