We describe a new ultrasonography system, which can identify an implant position in bone. Although conventional X-ray fluoroscopy can visualize implants, it has the serious disadvantage of X-ray exposure. Therefore, we developed a system for orthopedic surgery that involves no X-ray exposure. Barriers to the development of the system were overcome using an ultrasonic instrument and fuzzy logic techniques. We located distal transverse screw holes in an intramedullary nail during surgery for femur fracture. The screw hole positions are identified by calculating two fuzzy degrees of intensity and the variance. Results allow this system to identify the screw hole positions within an error of 1.43 mm, an error ratio adequate for clinical surgical practice.