A surgical instrument for inserting an implant is shown. The instrument has a housing having a first end and a second end, a rotatable drive member having an elongated member comprising a grip that is associated with the first end, an implant holder having a securing member that extends through the second end and that is adapted to receive and hold the implant. A universal joint couples the implant holder and the elongated member and is adapted to permit a user to rotatably drive the implant holder when the implant holder is in a pivoted position.