One hundred patients with acute Achilles tendon ruptures were randomized into either receiving an open 'crown' type Achilles tendon repair or a percutaneous Bunnell type Achilles tendon repair. The primary outcome consisted of measuring the Achilles Tendon Total Rupture Score (ATRS) at a mean follow-up of 27 months. The secondary outcomes included the following: patient satisfaction on a Visual Analogue Scale (VAS), calf circumference, single heel rise, time to return to sports, time to return to sports as a rate, time to return to work, operative time, and complications. No statistically significant differences were found between the two groups for all primary and secondary outcomes with the exception of operative time, which was significantly shorter in percutaneous Bunnell repair group.