Inclusion Criteria:  Between the ages of 18 and 65 Sustained unilateral fracture of the tibial pilon The fracture has completely healed Ability to walk 50 feet without use of an assistive device (cane, crutch, etc.) Ability to walk at a slow to moderate pace Shoe size between women's 8 and 13.5 or men's 6.5 and 12 Ability to read and write in English and provide written informed consent Individuals with elevated contact stress according to model generated using standing CT images (will be answered after completing visit one)  Exclusion Criteria:  Pain > 6/10 while walking Increase in pain during testing of 3/10 or greater Neurologic, musculoskeletal (including bilateral fractures) or other condition limiting function of the contralateral extremity Medical or psychological condition that would preclude functional testing (ex. moderate or severe brain injury, stroke, heart disease) Wounds to the calf that would prevent CDO fitting Fractures secondary to neuropathy or severe osteopenia Classification as non-ambulatory Previous fractures near the tibial pilon on the involved limb Surgery on involved limb anticipated in the next 6 months Requirement of a knee stabilizing device (i.e. KAFO, KO…) to perform daily activities Visual or hearing impairments that limit walking ability or limit the ability to comply with instructions given during testing BMI greater than 40 Pregnancy- Per participant self-report. Due to the expected small number of pregnant individuals and resulting inability to account for its effect on resulting outcomes, participants will be withdrawn from the study.