The invention provides a fastening nail and a fastening nail implantation device, and relates to the technical field of medical instruments. The fastening nail comprises a nail base and a spiral part;the front end of the spiral part forms a sharp end, the rear end of the spiral part is fixedly connected to the front end of the nail base, and a first positioning part is arranged on the end face ofthe rear end of the nail base. The fastening nail implantation device is used for implanting the fastening nail into a human body; the device comprises a base, a conveying cable and an anchoring handle; the rear end of the conveying cable is connected to the anchoring handle, and a second positioning part is arranged at the front end of the conveying cable; the anchoring handle is installed on the base, and the anchoring handle is configured to drive the conveying cable to rotate under a first working condition and drive the conveying cable to release the fastening nail under a second workingcondition. The technical problems that in the prior art, when a shifting fork is used for screwing a fastening nail into human tissue, the fastening nail is prone to loosening from the shifting fork,so that the operation completion time is delayed, the risk of a patient in an operation is increased, and postoperative wound healing of the patient is not facilitated are solved.