Patients [44] underwent open repair of ruptured or lacerated Achilles tendons. Patients were evaluated as to delay to surgery, type of repair, wound complications, incidence of rerupture, symptoms and postoperative range of motion, mobility and strength. Average follow-up was 3 yr. Functional results were generally good. Rerupture (2.8%) and wound complications (6.8%) were infrequent. Benefits of surgical repair appear to outweigh the potential complications, when compared to the reported incidence of rerupture and loss of strength and endurance following conservative management of these injuries.