Acute Achilles Repair With or Without OrthADAPT Augmentation

Inclusion Criteria: * A transverse, full thickness, acute mid-substance Achilles tendon tear that requires surgical repair * Achilles tendon tear is repairable by surgery using primary means as determined by intra-operative assessment * Achilles tendon rupture with viable ends of the tendon that are suitable for primary repair * Isolated Achilles tendon rupture without poly trauma * Patient must be 18 to 70 years of age * Life expectancy greater than or equal to 12 months * Patient is able to provide voluntary informed consent * Patient is willing and able to return for all follow-up visits and study related exams * Patient is willing to comply with prescribed physical therapy regimen Exclusion Criteria: * Emergency, poly trauma patients * Previous Achilles tendon surgical procedure on that tendon * Deficit in the contralateral extremity that prevents a comparison with the treated extremity * Repair requires tendon lengthening, gap filling or tendon transfer * BMI greater than 40 * Peripheral arterial disease * Uncontrolled Diabetes Mellitis * Patients whose injury is known to involve litigation * Known allergy to equine derived product * Systemic collagen disease * Neurological disease * Active infection - systemic or at the intended surgical site * Acute use of immunosuppressive agents * Rupture resulting from fluoroquinolone induced tendinopathy * Alcohol or drug abuse * Participant in another investigational drug or device trial * Pathologic soft tissue conditions that would prevent secure surgical fixation * Patients who are unwilling or unable to return for follow-up visits and study related exams * Pregnant women * Cancer patients * Decisionally impaired patients * Institutionalized patients * Prisoners