Chronic Achilles Tendon Rupture – Repair Using Flexor Hallucis Longus (FHL) Tendon Transfer and Augmentation in a 50-Year-Old Female

Abstract Achilles tendon ruptures are a common injury, particularly among active individuals. However, chronic Achilles tendon ruptures, defined as those occurring more than 4-6 weeks after injury, are more challenging to manage and often require specialised treatment approaches. This case report discusses the surgical management of a 50-year-old female who presented with a chronic Achilles tendon rupture, treated through repair with Flexor Hallucis Longus (FHL) tendon transfer and augmentation. The outcome was favourable with the restoration of function and resolution of pain.