A system (410; 510) for intramedullary preparations, the system comprising: a directional reamer (420; 520), including a flexible drive shaft (430; 530) having a proximal end and a distal end (434; 534), and a cutting head (440; 540) operably connected to the distal end (434; 534) of the flexible drive shaft (430; 530); a follower sleeve (470; 570) having a proximal end (474; 574) and a distal end in the form of a collar (476; 576), the follower sleeve (470; 570) defining a channel (479; 579) along a length of the follower sleeve (470; 570), the channel (479; 579) being configured to accept the flexible drive shaft (430; 530); and a reaming plunger (480; 580) extending through the channel (479; 579) of the follower sleeve (470; 570) and positioned adjacent to the flexible drive shaft (430; 530) within the channel (479; 579), the reaming plunger (480; 580) being configured to engage the collar (476; 576) of the follower sleeve (470; 570) to displace the distal end (434; 534) of the flexible drive shaft (430; 530) and deflect the cutting head (440; 540); wherein the collar (476; 576) defines a first sloped surface (477; 577) and the reaming plunger (480; 580) defines a second sloped surface (487; 587) that engages the first sloped surface (477; 577) such that, when the reaming plunger (480; 580) is advanced along the channel (479; 579), the second sloped surface (487; 587) slides along the first sloped surface (477; 577) causing the reaming plunger (480; 580) to move outward within the channel (479; 579) of the follower sleeve (470; 570). a directional reamer (420; 520), including a flexible drive shaft (430; 530) having a proximal end and a distal end (434; 534), and a cutting head (440; 540) operably connected to the distal end (434; 534) of the flexible drive shaft (430; 530); a flexible drive shaft (430; 530) having a proximal end and a distal end (434; 534), and a cutting head (440; 540) operably connected to the distal end (434; 534) of the flexible drive shaft (430; 530); a follower sleeve (470; 570) having a proximal end (474; 574) and a distal end in the form of a collar (476; 576), the follower sleeve (470; 570) defining a channel (479; 579) along a length of the follower sleeve (470; 570), the channel (479; 579) being configured to accept the flexible drive shaft (430; 530); and a reaming plunger (480; 580) extending through the channel (479; 579) of the follower sleeve (470; 570) and positioned adjacent to the flexible drive shaft (430; 530) within the channel (479; 579), the reaming plunger (480; 580) being configured to engage the collar (476; 576) of the follower sleeve (470; 570) to displace the distal end (434; 534) of the flexible drive shaft (430; 530) and deflect the cutting head (440; 540); wherein the collar (476; 576) defines a first sloped surface (477; 577) and the reaming plunger (480; 580) defines a second sloped surface (487; 587) that engages the first sloped surface (477; 577) such that, when the reaming plunger (480; 580) is advanced along the channel (479; 579), the second sloped surface (487; 587) slides along the first sloped surface (477; 577) causing the reaming plunger (480; 580) to move outward within the channel (479; 579) of the follower sleeve (470; 570).