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According to this report by Combate, Vitor Belfort fought at UFC 224 with a serious knee injury.
In the first week of training camp in Canada, during a sparring session, Belfort kicked and ended up stretching his knee. The tests showed that the 41-year-old suffered a Grade II lesion in the left medial ligament, pushing him away for two weeks. After consultations with three doctors, who discouraged him to fight, the Brazilian decided to continue on, despite not being able to kick and do ground workouts throughout the camp.
https://sportv.globo.com/site/comba...oelho-contra-lyoto-machida-no-ufc-rio-9.ghtml