Abstract: The Intramedullary Nail System with Tang Fixation includes a nail for insertion into the intramedullary canal of the femur and a lag screw for insertion through the nail, into the femoral head of the femur. The nail is affixed to the inside of the femur using only extendable tangs that extend into the bone. Similarly, the lag screw is secured to the inside of the femur and femoral head using only threads and extendable tangs. Thus, the nail is held within the intramedullary canal of the femur, affixed internally by the lag screw and tangs, without the use of screws that penetrate the surface of the bone, and without requiring significant x-ray exposure.