If you have something to run that needs constant motion besides the current, a motor-generator might be useful. That can convert pretty directly. I'm thinking like the outboard drive shaft on older midsize tractors.
And a motor-generator is far lossier than a flyback converter, they're mostly good for high-power applications where you need to convert from single phase to 3-phase and need isolation at low cost. Even then a VFD (variable frequency flyback converter or inverter) will be more efficient, just more expensive. Though days VFDs are getting quite cheap for their power.
Basically not all transformers are equal. You need to get the properties right to match the application. In the case of their use as a component in an isolating DC-DC converter (or inverter, or other similar system) they're typically not mentioned separately, since the converter is usually a module.