Reconstruction of neglected Achilles tendon rupture using the flexor hallucis tendon

Neglected ruptures of the Achilles tendon (AT) are not common and have a greater tendency to cause complications and to produce poorer functional results than fresh ruptures. Numerous surgical procedures have been described for the reconstruction of neglected AT ruptures. However, no report has been issued about an AT rupture neglected for more than 2 years. The authors reported about three patients (four tendons) with a neglected AT rupture of mean duration of 5 years, who were treated by interposed scar tissue repair combined with flexor hallucis longus tendon transfer. All patients experienced good clinical results and were satisfied with surgery.