Devices, systems, and methods for placing orthopedic implants are disclosed. In one aspect, a tool for laser assisted placement of an orthopedic implant includes a cannulated body having a proximal end and a distal end. The cannulated body includes an inner channel extending between the proximal and distal ends. The tool also includes an optical cable arranged within the inner channel of the cannulated body, and a tip arranged at the distal end of the cannulated body. The tip is configured to allow passage of laser radiation through the distal end of the cannulated body.