Yassin M, Myatt R, Thomas W, et al. - This study was undertaken to investigate if the size of the gap between ruptured tendon ends affects patient-reported outcomes following Achilles tendon rupture (ATR) treated with functional rehabilitation. Between August 2016 to January 2019, an analysis of prospectively collected data on all 131 patients diagnosed with ATR at Royal Berkshire Hospital, UK, and managed non-operatively was performed. The analysis included 82 patients with completed Achilles Tendon Rupture Scores (ATRS). Elevating gap size predicts lower patient-reported outcomes, as assessed by ATRS. The data considered that the tendon gap > 5 mm may be a beneficial prognosticator in physically demanding individuals, and tendon gap > 10 mm for those with low physical demand. Future trials that control for gap size when comparing non-operative and operative treatments are needed to evaluate whether these patients may benefit from surgery, particularly when balanced against the surgical risks.