Arthroscopy of the ankle joint is now routinely performed in diagnosti
c and therapeutic interventions but is still a demanding and difficult
operative procedure in this very small and tight joint. Arthroscopy c
an be facilitated by a sufficient distraction that gives a better over
view of the joint space. However, it is still a matter of debate how t
o obtain the adequate distraction. Distention by manual strength as we
ll as by the help of a technical device have been proposed. We report
our experience with distraction of the ankle joint by the help of one
or two intraarticularily located and secondarily insufflated angioplas
ty balloon catheters that are routinely used in interventional radiolo
gy, These special catheters allow a careful and controlled distention
of the joint with a fixed space of distraction and, according to our l
imited experience, without any morbidity.