An arthroscopic joint surgery device and method of use. The device has a tube and a knob with a hole that has an inner diameter matching the inner diameter of the tube and mates with the inner diameter of the tube. The tube and knob can be permanently attached or the knob can be configured to enable the knob to be unattached from the tube. The utilization of the device in this method enables surgeons to safely and efficiently locate the joint portals for the placement of the arthroscope and for a separate inflow portal. The arthroscope is in the proper position to visualize the whole joint. Damage to the joint surface cartilage is minimized. After needle localization of the joint under fluoroscopic guidance, the method uses the device to dilate a joint portal opening, such as an anteromedial ankle portal in preparation for the placement of the arthroscope or the posterolateral portal for the introduction of the inflow cannula. The method is performed under fluoroscopic guidance.