An aiming device system that is configured to align at least one bone anchor guide to a first distal hole of an intramedullary nail can include an aiming arm that is configured to be operatively coupled to the intramedullary nail and an aiming guide. The aiming arm can define a sliding support that is elongate along a first direction. The aiming guide can include a guide body that defines at least a first bone anchor guide. The aiming guide is attached to the aiming arm such that the aiming guide is selectably movable along the sliding support and selectably rotatable relative to the aiming arm. When the first bone anchor guide is retaining the guide sleeve at least one of the selectable movement and selectable rotation of the guide body at least partially aligns the first bone anchor guide with the first distal hole of the intramedullary nail.