An adjustable angle targeting device in one embodiment includes a holding member with a spherical upper surface and a lower surface, a first rotational alignment member for rotationally aligning an intramedullary nail with the holding member, a bore extending through the holding member and including a circular lower portion opening to the lower surface and a slot shaped upper portion opening to the upper surface, the slot having a length greater than the diameter of the circular lower portion, and a holding bolt for insertion through the bore and including (i) a shaft portion having a length greater than the length of the bore and a diameter less than the diameter of the circular lower portion, (ii) a coupling portion for coupling with the intramedullary nail and axially aligning the intramedullary nail, and (iii) a head with a bottom surface shaped complementary to the upper surface of the holding member.