A device for inserting an implant into a bone and/or backing-out/removing an implant from a bone. The device comprises a shaft, a head connected to the shaft, a channel through the head, and a locking mechanism. A handle may also be provided on the shaft. In one position, the locking mechanism engages the head, thereby preventing the head from pivoting and/or rotating relative to the shaft. In another position, the locking mechanism is disengaged from the head, such that the head can pivot and/or rotate relative to the shaft. The device may be used with a inserter. The locking mechanism may have means for holding a portion of the inserter in the channel. A method of inserting an implant into a bone and/or backing-out/removing an implant from a bone is also provided.
