Aequalis Ascend Flex

The Aequalis Ascend Flex convertible shoulder system provides anatomic and reversed options within a single system offering precise intra-operative implant-to-patient fit and easy conversion to reversed if necessary.

Aequalis Ascend™ Flex

Simplified Shoulder Reconstruction Begins Here

The Aequalis Ascend Flex stem provides a platform for primary, reversed, and conversion procedures. The universal female taper connection provides the simplicity of one stem and one technique for three different procedures. In addition, the short stem design eliminates canal-based constraints to allow for anatomic stem placement, preserves bone stock for future prosthetic intervention, and addresses the potential effects of stress shielding. This new system also offers the time-saving benefit of press-fit fixation.

The Aequalis Ascend Flex anatomic implant can be paired with the PerFORM Glenoid System.

Simply Anatomic

The Aequalis Ascend Flex Shoulder System achieves accurate and efficient restoration of natural shoulder biomechanics across a wide range of patients by addressing the variables associated with humeral inclination, stem orientation within the humerus, and head positioning on the resected surface.

Regardless of stem position within the resected humeral surface, low and high eccentric heads infinitely dial to quickly and accurately create an anatomic restoration.

Central Stem Position &
Low Offset Head

Lateral Stem Position &
High Offset Head

Simply Reversed

The Aequalis Ascend Flex reversed implants reduce scapular notching while maximizing abduction, adduction, and rotation, providing the ideal range of motion for activities of daily living. Extensive reversed glenoid options provide optimal fixation and intra-operative flexibility for varying patient anatomies.

Increased Abduction

Traditional Centered Metaphysis
Inability to offset a centrally constrained metaphysis may lead to early acromial impingement with the greater tuberosity.

Aequalis Ascend Flex Offset Reversed Adapter
Offset reversed trays increase abduction compared to traditional centered metaphysis designs by reducing acromial impingement with the greater tuberosity.

Improved Adduction & Reduced Notching

The 145° humeral inclination of Aequalis Ascend Flex increases adduction with reduced inferior scapular impingement when compared to the Grammont design.


Aequalis Ascend Flex

Optimized Rotation

The 145° humeral inclination of the Aequalis Ascend Flex lateralizes the humerus compared to the Grammont design placing tension on the internal/external rotators. The offset reversed trays, unique to Tornier, provide the option of medial-lateral adjustments for precise soft-tissue tensioning resulting in optimized rotation.


Aequalis Ascend Flex

Simply Convertible

Reliable Conversion

Unique high and low offset reversed trays dial to a lateral position, moving the humerus medially and relieving capsular tension from the surrounding soft tissues to deliver a predictable reduction.

Offset trays provide up to 2.6 mm of medial soft tissue relief

Humeral position using centered reversed tray

Reversed Trays


1.5 mm Low Offset

3.5 mm High Offset

Simply Implanted

The Aequalis Ascend Flex instrumentation provides a fast, bone conserving procedure that leverages the same humeral preparation for both anatomic and reversed procedures. Different than traditional instrumentation, the Aequalis Ascend Flex instrumentation focuses on bone compaction techniques that preserve bone and provide exceptional implant support.