Chronic patellar tendon ruptures are unusual and management of which is challenging. The management of a neglected, chronic patellar tendon rupture must address three difficulties: the proximally retracted patella, robust reconstruction of the patellar tendon, and the temporary protection of this repair. Here we would like to describe the advantages of reconstruction in a case of neglected patellar tendon rupture using hamstring grafts and ss wire augmentation, which allowed early range of motion and provided good functional outcome.