The invention relates to the field of medical devices, in particular to an orthopedic intramedullary ultrasonic locking nail aiming aid. The orthopedic intramedullary ultrasonic locking nail aiming aid comprises a first adjusting part and a second adjusting part, wherein the first adjusting part comprises a fixing sleeve, the fixing sleeve is provided with a semicircular arc-shaped strip hole, thefixing sleeve is internally provided with a rotating shaft, the end of the rotating shaft is connected with a first micro-rotary motor, the portion, corresponding to the semicircular arc-shaped striphole, on the rotating shaft is provided with a positioning block, the positioning block penetrates through the arc-shaped strip hole and is connected with a rotating sleeve slidably arranged at the outer side face of the fixing sleeve, the rotating sleeve is fixedly provided with a transmission rod perpendicular to the axis of the rotating shaft, the transmission rod is fixedly provided with thesecond adjusting part, the end, away from the second adjusting part, of the positioning rod is square, the square end of the positioning rod is provided with a locking nail positioning sleeve, and thelocking nail positioning sleeve is detachably connected with an ultrasonic aiming device. The orthopedic intramedullary ultrasonic locking nail aiming aid firstly performs coarse tuning and then performs fine tuning, which can achieve accurate aiming, and the operation errors can be reduced through automatic control.