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From July 2000 to July 2012, we have treated 48 cases with neglected Achilles tendon ruptures in Government General Hospital, Kurnool, India, with modified flexor hallucis longus (FHL) transfer. Thirty-three patients had achillodynia and 29 had local steroid infiltration. Thirty-six patients presented with ruptures in hypovascular zone II and, in 31, repair was after 3 weeks, graded as late (Inglis). The patients were managed based on a standardized evaluation and surgical protocol. Thedoi:10.5005/jp-journals-10040-1002 fatcat:kqq4vqzkzbdb3cpppdaf533b2a