Hello @pthielen5923. I combined your discussion on tibial fractures with another discussion on the same topic. I @tc125, @bernese53, and @mareanne will rejoin the discussion to share their experience with tibial fractures with you. I can personally relate to your frustrations with gait and shape change, although mine is from a different cause. I have also had my knee replaced on my right side, and recently have had my left ankle fused, which really changed the way I walk. Since my ankle joint does not hinge anymore, I have noticed the knee on that side occasionally gets hyperextended and sore, as well as my hips at times because of the change, so i can relate on the gait changing affecting other body parts.

@pthielen5923, if you don't mind me asking, what has your medical provider or surgeon said about your alignment and movement?