Introduction:

Spontaneous rupture of the Achilles tendon is a frequent condition in young patients who practice sports. When the initial diagnosis is not made, it becomes a chronic injury, consequently, diagnosis and treatment is even more complex. In most of these cases, tendon grafts are necessary.

Objective:

To demonstrate the efficacy and functional clinical results of the surgical repair of the chronic rupture of the Achilles tendon by transferring the short lateral peroneal tendon.

Case report:

We report the case of a 38-year-old male patient with a history of a fall while playing sports. A chronic rupture of the Achilles tendon was found. Open surgery was performed, the short lateral peroneal tendon was transferred to the distal end of the Achilles tendon. The plasty was reinforced with the thin plantar tendon. Ankle boot-type immobilization was placed with 30 ° plantar flexion for six weeks. After this time, the patient received a walker boot, ambulation and rehabilitation began. The latter started with partial support during three months. At six months this patient returned to his normal life with adequate foot and ankle function.

Conclusions:

Surgical repair of chronic Achilles tendon rupture by transferring the short lateral peroneal tendon is an effective method and offers good clinical and functional results.

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