A 40-year-old male presented with a 1.5-year history of recurrent left proximal tibiofibular joint dislocations after a jiu jitsu injury. He had previously undergone left knee arthroscopy with lateral meniscus repair and an open osteochondral allograft. Despite this surgery, he continued to experience instability symptoms.

The patient’s imaging studies showed an oblique proximal tibiofibular joint configuration, which may predispose him to instability. Surgical intervention involved an adjustable loop cortical button fixation to stabilize the joint.

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