An implant insertion device including a body having a first portion for coupling to a proximal end of an intramedullary rod and a second portion extending in a spaced position from the intramedullary rod in the vicinity of an aperture in a proximal end of the rod when the rod is coupled to the first portion. The second portion can include a targeting assembly having a passageway for receiving a guide sleeve and for pivoting the guide sleeve relative to the aperture through an angular range for inserting the fastener into the aperture of the rod. An implant insertion device for use with an implantable device is additionally provided.