Although being the strongest tendon in the body, the Achilles tendon is the most frequently ruptured tendon in the lower limb and comprises approximately 20% of all large tendon ruptures. The classical site of rupture is generally 3cm-6cm proximal to its insertion into the calcaneal tuberosity, as there is a hypo vascular zone present in this area of tendon. The most common mechanism usually involves eccentric loading on a dorsiflexed ankle with the knee extended (soleus and gastrocnemius on maximal stretch.

Described are the 10 feet (8 patients), two had bilateral presentation. All came after 3 weeks of injury and treated with debridement, V-Y plasty and FHL (flexor Hallucis Longus) transfer. All patients regained full movements at the ankle and resume their routine activities at 3 months follow-up.