We report the outcome following arthroscopic ACL
reconstruction combined with a Modified LeMaire
procedure in a patient who underwent multiple surgeries
following an open ipsilateral femoral fracture and an above
knee amputation of the contralateral limb at the time of
initial trauma. This case highlights the importance of
achieving ligamental stability in the contra-lateral limb in
aiding proper rehabilitation following amputation and the
potential pitfalls of retrograde femoral nailing.