Ruptures of the Achilles tendon are especially common in middle-agedmen who occasionally participate in sports. In some cases, a patient sustains arupture, but this is not diagnosed and the patient presents with a chronic rupturefour to six weeks later. Although there is still much controversy about how tomanage acute ruptures, most surgeons agree that chronic ruptures should betreated operatively when possible, as they are associated with considerablefunctional morbidity. Several surgical methods have been described to addressthis problem such as lengthening flaps, V-Y plasty, and augmentation withtendon transfer, free graft; synthetic grafts or allografts, this augmentation isbeneficial for the healing and the strength of the reconstructed Achilles tendon.