10-Q

UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, DC 20549

FORM 10-Q

(Mark one)

x QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

For the quarterly period ended June 30, 2013

OR

¨ TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

For the transition period from                      to                     .

Commission File Number: 0-19961

ORTHOFIX INTERNATIONAL N.V.

(Exact name of registrant as specified in its charter)

Curaçao	Not applicable
(State or other jurisdiction of incorporation or organization)	(I.R.S. Employer Identification No.)

7 Abraham de Veerstraat Curaçao	Not applicable
(Address of principal executive offices)	(Zip Code)

599-9-4658525

(Registrant’s telephone number, including area code)

Not applicable

(Former name, former address and former fiscal year, if changed since last report)

Indicate by check mark whether the registrant: (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days.    ¨  Yes    x  No

Indicate by check mark whether the registrant has submitted electronically and posted on its corporate Web site, if any, every Interactive Data File required to be submitted and posted pursuant to Rule 405 of Regulation S-T (§232.405 of this chapter) during the preceding 12 months (or for such shorter period that the registrant was required to submit and post such files).    ¨  Yes    x  No

Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, or smaller reporting company. See definition of “large accelerated filer,” “accelerated filer,” “non-accelerated filer” and “smaller reporting company” in Rule 12b-2 of the Exchange Act.

Large Accelerated filer	x	Accelerated filer	¨
Non-Accelerated filer	¨  (Do not check if a smaller reporting company)	Smaller Reporting Company	¨

Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act).    ¨  Yes    x  No

As of March 14, 2014, 18,187,194 shares of common stock were issued and outstanding.

EXPLANATORY NOTE

Orthofix International N.V. (together with its respective consolidated subsidiaries and affiliates, the “Company,” sometimes referred to as “we”, “us” or “our”) is filing this Quarterly Report on Form 10-Q for the fiscal quarter ended June 30, 2013 (this “Report” or this “Form 10-Q”) concurrently with the filing of an amendment to its Annual Report on Form 10-K for the year ended December 31, 2012 (the “2012 Form 10-K/A”) and an amendment to its Quarterly Report on Form 10-Q for the fiscal quarter ended March 31, 2013 (the “2013 First Quarter Form 10-Q/A,” and together with the 2012 Form 10-K/A, the “Amendments”). We experienced substantial delays in filing this Report with the Securities and Exchange Commission (“SEC”) as a result of issues identified in connection with an independent review by the Audit Committee of the Company’s Board of Directors into certain accounting matters, which review led to the restatement of our previously issued consolidated financial statements for the fiscal years ended December 31, 2012, 2011 and 2010, as well as for the interim quarterly period ended March 31, 2013, as well as the correction of additional errors in prior periods. For additional information regarding this restatement and related matters, you should refer to the Amendments being filed contemporaneously with the filing of this Report.

This Report reflects the effects of the restatement of the Company’s previously issued condensed consolidated financial statements for the three and six months ended June 30, 2012 in Part I, Item 1, “Financial Statements”, and Item 2, “Management’s Discussion and Analysis of Financial Condition and Results of Operations” in both tabular and textual form. We also expect to file our Quarterly Report on Form 10-Q for the fiscal quarter ended September 30, 2013 (the “2013 Third Quarter Form 10-Q”) on the date following the date of this Report, which 2013 Third Quarter Form 10-Q will reflect the effects of the restatement of the Company’s previously issued condensed consolidated financial statements for the three and nine months ended September 30, 2012 in Part I, Item 1, “Financial Statements”, and Item 2, “Management’s Discussion and Analysis of Financial Condition and Results of Operations” in both tabular and textual form. We do not plan to amend any previously filed reports in connection with the restatement other than as described above.

For further detail on the financial statement impacts and the adjustments made as a result of the restatement, please see Note 2 to the Condensed Consolidated Financial Statements in Part I, Item 1, “Financial Statements” of this Report, and Note 2 to the Consolidated Financial Statements in Part II, Item 8, “Financial Statements and Supplementary Data” of the 2012 Form 10-K/A. We currently expect to file our Annual Report on Form 10-K for the year ended December 31, 2013 by March 31, 2014.

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Table of Contents

		Page
PART I	FINANCIAL INFORMATION
Item 1.	Financial Statements (Unaudited)		5
	Condensed Consolidated Balance Sheets as of June 30, 2013 (Unaudited) and December 31, 2012		5
	Condensed Consolidated Statements of Operations and Comprehensive Income (Loss) for the three and six months ended June 30, 2013 (Unaudited) and 2012		6
	Condensed Consolidated Statements of Cash Flows for the six months ended June 30, 2013 (Unaudited) and 2012		7
	Notes to Unaudited Condensed Consolidated Financial Statements		8
Item 2.	Management’s Discussion and Analysis of Financial Condition and Results of Operations		24
Item 3.	Quantitative and Qualitative Disclosures About Market Risk		31
Item 4.	Controls and Procedures		32
PART II	OTHER INFORMATION
Item 1.	Legal Proceedings		34
Item 1A.	Risk Factors		34
Item 2.	Unregistered Sales of Equity Securities and Use of Proceeds		34
Item 6.	Exhibits		35
SIGNATURES			36

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Forward-Looking Statements

This report contains forward-looking statements within the meaning of Section 21E of the Securities Exchange Act of 1934, as amended, and Section 27A of the Securities Act of 1933, as amended, relating to our business and financial outlook, which are based on our current beliefs, assumptions, expectations, estimates, forecasts and projections. In some cases, you can identify forward-looking statements by terminology such as “may,” “will,” “should,” “expects,” “plans,” “anticipates,” “believes,” “estimates,” “projects,” “intends,” “predicts,” “potential,” “continue” or other comparable terminology. These forward-looking statements are not guarantees of our future performance and involve risks, uncertainties, estimates and assumptions that are difficult to predict. Therefore, our actual outcomes and results may differ materially from those expressed in these forward-looking statements. You should not place undue reliance on any of these forward-looking statements. We undertake no obligation to further update any such statement to reflect new information, the occurrence of future events or circumstances or otherwise.

The forward-looking statements in this filing do not constitute guarantees or promises of future performance. Factors that could cause or contribute to such differences may include, but are not limited to, risks relating to the Audit Committee review and financial restatement described herein and in the 2012 Form 10-K/A and related legal proceedings (including potential action by the Division of Enforcement of the SEC and pending securities class action litigation), the Company’s review of allegations of improper payments involving the Company’s Brazil-based subsidiary, the Company’s non-compliance with certain Nasdaq Stock Market LLC (“Nasdaq”) listing rules, and related pending hearings proceedings in connection therewith, the expected sales of our products, including recently launched products, unanticipated expenditures, changing relationships with customers, suppliers, strategic partners and lenders, changes to and the interpretation of governmental regulations, the resolution of pending litigation matters (including our indemnification obligations with respect to certain product liability claims against, and the government investigation of, our former sports medicine global business unit) (as further described in the Legal Proceedings sections of this report and other reports that we will file in the future), our ongoing compliance obligations under a corporate integrity agreement with the Office of Inspector General of the Department of Health and Human Services (and related terms of probation) and a deferred prosecution agreement with the U.S. Department of Justice, risks relating to the protection of intellectual property, changes to the reimbursement policies of third parties, the impact of competitive products, changes to the competitive environment, the acceptance of new products in the market, conditions of the orthopedic industry, credit markets and the economy, corporate development and market development activities, including acquisitions or divestitures, unexpected costs or operating unit performance related to recent acquisitions, and other risks described in Item 1A under the heading Risk Factors in the 2012 Form 10-K/A, as well as in other reports that we will file in the future.

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PART I. FINANCIAL INFORMATION

Item 1. Condensed Consolidated Financial Statements

ORTHOFIX INTERNATIONAL N.V.

Condensed Consolidated Balance Sheets

(U.S. Dollars, in thousands, except share data)	June 30, 2013		December 31, 2012
	(unaudited)		(Restated)
Assets
Current assets:
Cash and cash equivalents	$	27,370	$	31,055
Restricted cash		20,601		21,314
Trade accounts receivable, less allowance for doubtful accounts of $10,977 and $13,543 at June 30, 2013 and December 31, 2012, respectively		90,828		107,312
Inventories		94,941		83,373
Deferred income taxes		33,664		33,450
Prepaid expenses and other current assets		28,993		34,079
Total current assets		296,397		310,583
Property, plant and equipment, net		55,166		53,835
Patents and other intangible assets, net		6,857		7,290
Goodwill		72,758		74,388
Deferred income taxes		19,205		18,881
Other long-term assets		9,067		7,920
Total assets	$	459,450	$	472,897
Liabilities and shareholders’ equity
Current liabilities:
Trade accounts payable	$	18,894	$	22,575
Other current liabilities		52,679		39,610
Total current liabilities		71,573		62,185
Long-term debt		20,000		20,000
Deferred income taxes		12,326		11,456
Other long-term liabilities		10,324		11,424
Total liabilities		114,223		105,065
Contingencies (Note 16)
Shareholders’ equity:
Common shares $0.10 par value; 50,000,000 shares authorized; 18,494,258 and 19,339,329 issued and outstanding as of June 30, 2013 and December 31, 2012, respectively		1,849		1,934
Additional paid-in capital		225,148		246,306
Retained earnings		117,030		114,847
Accumulated other comprehensive income		1,200		4,745
Total shareholders’ equity		345,227		367,832
Total liabilities and shareholders’ equity	$	459,450	$	472,897

The accompanying notes form an integral part of these condensed consolidated financial statements.

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ORTHOFIX INTERNATIONAL N.V.

Condensed Consolidated Statements of Operations and Comprehensive Income (Loss)

For the three and six months ended June 30, 2013 and 2012

(Unaudited, U.S. Dollars, in thousands, except share and per share  data)	Three Months Ended June 30,						Six Months Ended June 30,
	2013			2012			2013			2012
				(Restated)						(Restated)
Product sales	$	86,633		$	101,902		$	177,969		$	199,510
Marketing service fees		11,647			11,521			23,684			22,849
Net sales		98,280			113,423			201,653			222,359
Cost of sales		20,246			27,547			45,863			48,925
Gross profit		78,034			85,876			155,790			173,434
Operating expenses
Sales and marketing		44,910			47,075			89,964			94,203
General and administrative		15,204			14,295			33,534			28,865
Research and development		8,551			9,252			14,292			16,302
Amortization of intangible assets		565			580			1,109			1,160
Charges related to U.S. Government resolutions		—			376			—			686
		69,230			71,578			138,899			141,216
Operating income		8,804			14,298			16,891			32,218
Other income and expense
Interest expense, net		(470	)		(1,265	)		(1,030	)		(3,486	)
Other income (expense), net		(1,207	)		660			3,557			29
		(1,677	)		(605	)		2,527			(3,457	)
Income before income taxes		7,127			13,693			19,418			28,761
Income tax expense		(2,997	)		(3,823	)		(7,678	)		(10,294	)
Net income from continuing operations, net of tax		4,130			9,870			11,740			18,467
Discontinued operations (Note 15)
Gain on sale of Breg, Inc., net of tax		—			1,040			—			1,040
Loss from discontinued operations		(9,154	)		(5,853	)		(13,588	)		(5,326	)
Income tax benefit		2,707			2,197			4,031			2,480
Net loss from discontinued operations, net of tax		(6,447	)		(2,616	)		(9,557	)		(1,806	)
Net Income (loss)	$	(2,317	)	$	7,254		$	2,183		$	16,661
Net income (loss) per common share- basic:
Net income from continuing operations, net of tax	$	0.22		$	0.52		$	0.61		$	0.98
Net income (loss) from discontinued operations, net of tax		(0.34	)		(0.14	)		(0.50	)		(0.10	)
Net income (loss) per common share- basic	$	(0.12	)	$	0.38		$	0.11		$	0.88
Net income (loss) per common share- diluted:
Net income from continuing operations, net of tax	$	0.21		$	0.51		$	0.60		$	0.96
Net income (loss) from discontinued operations, net of tax		(0.33	)		(0.14	)		(0.49	)		(0.09	)
Net income (loss) per common share- diluted:	$	(0.12	)	$	0.37		$	0.11		$	0.87
Weighted average number of common shares:
Basic		19,140,520			18,827,452			19,285,004			18,751,573
Diluted		19,270,044			19,215,984			19,483,715			19,168,940
Comprehensive income (loss)	$	(2,836	)	$	3,842		$	(1,362	)	$	15,629

The accompanying notes form an integral part of these condensed consolidated financial statements.

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ORTHOFIX INTERNATIONAL N.V.

Condensed Consolidated Statements of Cash Flows

For the six months ended June 30, 2013 and 2012

	Six Months Ended June 30,
(Unaudited, U.S. Dollars, in thousands)	2013			2012
				(Restated)
Cash flows from operating activities:
Net income	$	2,183		$	16,661
Adjustments to reconcile net income to net cash provided by operating activities:
Depreciation and amortization		10,209			11,118
Amortization of debt costs		360			1,375
Provision for doubtful accounts		2,486			5,224
Deferred income taxes		222			(3,004	)
Share-based compensation		3,437			2,738
Gain on sale of Breg, Inc.		—			(1,040	)
Income tax benefit on employee stock-based awards		758			—
Excess income tax benefit on employee stock-based compensation		(82	)		(1,156	)
Other		2,296			(5,418	)
Change in operating assets and liabilities, net of effect of disposition:
Trade accounts receivable		13,124			(11,482	)
Inventories		(12,882	)		2,270
Escrow receivable		—			41,537
Prepaid expenses and other current assets		9,343			1,934
Trade accounts payable		(3,452	)		(5,367	)
Charges related to U.S. Government resolutions		—			686
Other current liabilities		8,844			1,539
Long-term assets		(1,521	)		—
Long-term liabilities		(1,164	)		142
Net cash provided by operating activities		34,161			57,757
Cash flows from investing activities:
Capital expenditures for property, plant and equipment		(12,826	)		(12,794	)
Capital expenditures for intangible assets		(651	)		(214	)
Net proceeds from the sale of Breg, Inc.		—			153,092
Net cash provided by (used in) investing activities		(13,477	)		140,084
Cash flows from financing activities:
Net proceeds from issuance of common shares		2,188			13,340
Repayments of long-term debt		—			(168,695	)
Repayment of bank borrowings, net		(16	)		(831	)
Changes in restricted cash		721			(25,831	)
Repurchase of treasury shares		(26,868	)		—
Excess income tax benefit on employee stock-based awards		82			1,156
Net cash used in financing activities		(23,893	)		(180,861	)
Effect of exchange rate changes on cash		(476	)		(98	)
Net (decrease) increase in cash and cash equivalents		(3,685	)		16,882
Cash and cash equivalents at the beginning of the period		31,055			33,207
Cash and cash equivalents at the end of the period	$	27,370		$	50,089

The accompanying notes form an integral part of these condensed consolidated financial statements.

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ORTHFIX INTERNATIONAL N.V.

Notes to the Unaudited Condensed Consolidated Financial Statements

1. Summary of significant accounting policies

(a) Basis of presentation

The accompanying Unaudited Condensed Consolidated Financial Statements have been prepared in accordance with accounting principles generally accepted in the United States (“U.S.”) for interim financial information and with the instructions to Form 10-Q and Rule 10-01 of Regulation S-X. Pursuant to these rules and regulations, certain information and note disclosures, normally included in financial statements prepared in accordance with accounting principles generally accepted in the U.S., have been condensed or omitted. In the opinion of management, all adjustments (consisting of normal recurring items) considered necessary for a fair presentation have been included. Operating results for the six months ended June 30, 2013 are not necessarily indicative of the results that may be expected for the year ending December 31, 2013. The balance sheet at December 31, 2012 has been derived from the audited financial statements at that date, but does not include all of the information and footnotes required by accounting principles generally accepted in the U.S. for complete financial statements. For further information, refer to the Consolidated Financial Statements and Notes thereto of the 2012 Form 10-K/A. The notes to the unaudited condensed consolidated financial statements are presented on a continuing operations basis unless otherwise noted.

(b) Reclassifications

The Company has reclassified certain line items to conform to the current year presentation. The reclassifications have no effect on previously reported net income or shareholders’ equity.

(c) Use of estimates

The preparation of financial statements in conformity with accounting principles generally accepted in the U.S. requires management to make estimates and assumptions that affect the amounts reported in the financial statements and accompanying notes. On an ongoing basis, the Company evaluates its estimates including those related to the resolution of U.S. government matters, contractual allowances, doubtful accounts, inventories, taxes, shared-based compensation, and potential goodwill and intangible asset impairment. Actual results could differ from these estimates.

(d) Foreign Currency Translation

The financial statements for operations outside the United States are generally maintained in their local currency. All foreign currency denominated balance sheet accounts, except shareholders’ equity, are translated to U.S. dollars at year end exchange rates and revenue and expense items are translated at weighted average rates of exchange prevailing during the year. Gains and losses resulting from the translation of foreign currency are recorded in the accumulated other comprehensive income component of shareholders’ equity.

2. Restatement of the Condensed Consolidated Financial Statements

Background

In July 2013, the Audit Committee (the “Audit Committee”) of the Company’s Board of Directors (the “Board”) commenced an independent review with the assistance of outside professionals into whether the Company had properly recognized revenue under U.S. generally accepted accounting principles (“GAAP”) in connection with certain revenue that had been recorded in 2012 and 2011 (the “Independent Review”). In conjunction with the Independent Review, the Company concluded that material errors existed in the previously issued financial statements for the fiscal years ended December 31, 2012, 2011 and 2010, as well as for the interim quarterly period ended March 31, 2013. In addition, the Company has identified and corrected errors occurring prior to January 1, 2010 by recognizing a cumulative adjustment to beginning retained earnings in the consolidated statements of changes in shareholders’ equity included in the consolidated financial statements filed with the 2012 Form 10-K/A.

In reaching these conclusions, the Company considered information obtained in the Independent Review, including emails, data and interviews with current and former employees that indicated (i) the existence of extra-contractual terms or arrangements at the onset of the sale and concessions agreed to subsequent to the initial sale, such as extended payment terms, and return and exchange rights for sales to distributors with respect to certain transactions, (ii) that at the time of some sales collection was not reasonably assured, and (iii) that certain amounts previously characterized as commissions were paid to related parties of the applicable customer.

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The Company assessed the information derived from the Independent Review in making determinations with respect to accounting adjustments reflected in the restated consolidated financial statements contained in this Form 10-Q and in the 2012 Form 10-K/A, and such determinations are consistent with the findings of the Independent Review. In addition to the matters that were the subject of the Independent Review, certain other adjustments identified by management, including revisions to inventory reserves and royalties, were made to the consolidated financial statements in connection with the restatement.

The correction of these errors had the following impact for the three and six months ended June 30, 2012: decreased net sales by $6.1 million and $13.2 million, respectively; and decreased net income from continuing operations by $4.1 million and $7.7 million, respectively. The following include descriptions of the significant adjustments to the Company’s financial position and results of operations from the previously reported consolidated financial statements.

Distributor Revenue Recognition

The Company has determined that it previously recognized revenue with respect to certain distributor relationships before all revenue recognition criteria were met. Specifically, the Company has determined that a fixed or determinable sales price did not exist, and/or collection was not reasonably assured, with respect to certain transactions where revenue had previously been recognized at the time of shipment. Specifically, the Company’s review revealed arrangements, or extra-contractual terms, with certain of the Company’s distributors regarding extended payment terms, return or exchange rights, and contingent payment obligations for sales to such distributors with respect to certain transactions. There were also concessions being made subsequent to the shipment of inventory to the distributors and the related revenue recognition. Based on the results of this review, it was determined that these arrangements were not appropriately evaluated under the appropriate revenue recognition criteria applicable under GAAP.

The Company previously recognized distributor revenue as title and risk of loss passed at either shipment from the Company’s facilities or receipt at the distributor’s facility, assuming all other revenue recognition criteria had been achieved (the “sell-in method”). Based on review of all facts and circumstances related to the arrangements described above, the Company determined that in many instances the revenue recognition criteria under the sell-in method were not satisfied at the time of shipment or receipt; specifically, the existence of extra-contractual terms or arrangements caused the Company not to meet the fixed or determinable criteria for revenue recognition in some cases, and in others collectability had not been established. In situations where the Company is unable to reasonably estimate the effects of these extra-contractual terms, it is precluded from recognizing revenue relating to distributor arrangements until the product is delivered to the end customer. This method is commonly referred to as the “sell-through” revenue recognition method because the vendor does not recognize revenue until the transaction consideration is fixed or determinable, which coincides with the selling of the product through the distribution channel to the end customer. Because the Company does not have reliable information about when its distributors sell the product through to end customers, the Company will use cash collection from distributors as a basis for revenue recognition under the sell-through method. Although in many cases the Company is legally entitled to the accounts receivable at the time of shipment, since the revenue recognition criteria has not been met, the Company has not recognized accounts receivables or any corresponding deferred revenues associated with these transactions.

As part of the review, the Company also considered the accounting treatment for the related cost of sales when distributor revenue is recognized on a sell-through basis. Previously, cost of sales were recognized upon shipment; however, the Company believes the matching of the recognition of costs of sales with revenue is preferred and therefore considered if such costs should be deferred until revenue is recognized on a sell-through basis. In making this assessment, the Company considered the financial viability of its distributors based on their creditworthiness to determine if collectability of amounts sufficient to realize the costs of the products shipped was reasonably assured at the time of shipment to these distributors. In instances where the distributor was determined to be financially viable, the Company determined that costs of sales should be deferred until the revenue is recognized. For those distributors where the Company has concluded that collectability was not reasonably assured, the Company has expensed the related cost of sales upon shipment.

Based on the results of the Independent Review, the Company determined that all distributor transactions should be transitioned to the sell-through basis method of accounting as of the dates described below:

• For distributor transactions within the Company’s Orthopedics division, the Company has determined that sell-through accounting should be applied within the Brazil subsidiary for all prior periods given the frequency with which the Company conducted business under extra-contractual and undocumented terms, as well as the Company’s inability to fully access underlying transactional and other information that would be necessary to evaluate transactions under a sell-in basis. For distributor transactions within the division outside the Brazil subsidiary, there were also sales to four distributors that did not meet the fixed or determinable or collectability revenue recognition criteria and therefore, such sales were adjusted to sell-through accounting in the restatement.

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• For other distributor transactions within the Company’s U.S. Spine division, the Company has determined that sell-through accounting should be applied beginning January 1, 2011. Following its consideration of the information provided from the Independent Review, the Company believes that January 1, 2011 is the date extra-contractual terms became pervasive in the Company’s U.S. business, and it is unaware of circumstances existing prior to that date that would require it to broadly apply sell-through accounting to all distributor transactions within the U.S. Spine division. Additionally, there were sales in 2012 and 2011 for which revenue was previously recognized that did not meet the fixed or determinable criteria and the product associated with such sales was subsequently returned in 2013 (i) under the terms of negotiated agreements whereby the Company terminated its relationships with two distributors and (ii) by an additional distributor who returned certain product sold pursuant to a contingent sales arrangement. Such sales represented approximately $3.3 million for the year ended December 31, 2012. Due to the return of the product, no revenue will be recognized for these transactions.

• The Company has determined that stimulation products sold to distributors within the Company’s U.S. Spine division during 2012 did not meet the fixed or determinable (and in some cases, collectability) revenue recognition criterion at the time of shipment. Therefore, the Company has determined that sell-through accounting should be applied for these sales. Management also determined that many of these distributors (or affiliates thereof) received commission payments as part of the sales transactions, which the Company previously recorded as sales and marketing expense. The Company has recorded adjustments in the restatement to net these commission expenses against revenue, as they represented product discounts.

• The Company has determined that it will prospectively apply sell-through accounting for all remaining distributor arrangements (which entails arrangements within the Company’s Orthopedics division outside the Brazil subsidiary) beginning April 1, 2013, the earliest date for which financial statements had not previously been issued by the Company at the time of the determination. Although the Independent Review did not provide information to indicate extra-contractual terms or that historical revenue recognition was inappropriate in these remaining instances, the Company believes the information from the Independent Review indicating that the Company has a history of extra-contractual arrangements for distributor transactions, as described above, provides additional information which should be considered in reassessing the application of sell-through accounting on a prospective basis, particularly given that the Company believes that there is a higher risk associated with distributor arrangements generally.

The effect of adjustments made to the Company’s previously filed consolidated statements of operations as a result of these matters for the three and six months ended June 30, 2012 are shown in the tables below. These adjustments also had the following effects on the Company’s previously filed December 31, 2012 consolidated balance sheet:

• Accounts receivable decreased as of December 31, 2012 by $41.3 million related to the de-recognition of receivables for which revenue has been deferred and will now be recognized on a sell-through basis, based on cash collections.

• Inventory increased as of December 31, 2012 by $11.0 million to recognize the costs of inventory shipments to distributors determined to be financially viable, as discussed previously.

Inventory Reserves

The Company also identified material errors in inventory reserves. One error related to the Company recording an increase of $1.2 million to the Company’s excess and obsolete reserve in the second quarter of 2012 related to a product within the Spine business that was subsequently reversed by the Company in the fourth quarter of 2012. During the Company’s review, it was determined that removing the reserve in the fourth quarter of 2012 was not correct; therefore the reserve has been reinstated.

The Company has also determined that certain inconsistencies existed with respect to how the Company previously computed and recorded inventory reserves. As a result, the Company has reviewed the methodologies used to compute and record inventory reserves and determined that errors in the application of GAAP existed in prior periods, which required adjustment in these financial statements. Based on this review, the Company has determined that it previously made reductions to previously recorded reserves based on changes in forecasted demand, which it believes was contrary to guidance set forth in ASC Topic 330, Inventory (specifically ASC 330-10-35-14), which states that a write-down of inventory to the lower-of-cost-or-market value at the close of a fiscal year creates a new cost basis that subsequently should not be marked up based on changes in underlying circumstances. The restated consolidated financial statements contain several adjustments to reflect recomputed inventory reserves in each of the relevant periods.

These adjustments resulted in a decrease to inventory (due to an increase in reserves) as of December 31, 2012 of $14.8 million.

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Royalties

The Company also reviewed the accounting for royalties and determined there were royalties classified as sales and marketing expense; however, such royalties were based on sales of products and were paid to doctors who consulted on development of those products. Given these amounts are attributable to the cost of producing our products, we determined they are correctly classified as cost of goods sold.

Other Adjustments

In addition to the adjustments recorded to address the Company’s errors in accounting for distributor revenue recognition, inventory reserves, and royalties, the Company has identified other errors that are generally not material, individually or in the aggregate, but have been recorded in connection with the restatement.

There were no material impacts to the statements of cash flows for the items above. The results of the adjustments to the Company’s previously filed consolidated statements of operations detailed above for the three and six months ended June 30, 2012 are summarized in the tables below. The tax effect of the adjustments is estimated based on the Company’s effective tax rate.

	Three Months Ended June 30, 2012
				Adjustments by Category
(U.S. Dollars, in thousands)	Previously Reported			Distributor Revenue			Inventory Reserves			Royalties			Other			Total Adjustments			Restated
Net sales	$	119,492		$	(5,862	)	$	—		$	—		$	(207	)	$	(6,069	)	$	113,423
Cost of sales		23,676			(2,101	)		3,880			2,079			13			3,871			27,547
Gross profit		95,816			(3,761	)		(3,880	)		(2,079	)		(220	)		(9,940	)		85,876
Operating expenses
Sales and marketing		49,810			(527	)		—			(2,079	)		(129	)		(2,735	)		47,075
General and administrative		14,295			—			—			—			—			—			14,295
Research and development		9,252			—			—			—			—			—			9,252
Amortization of intangibles assets		530			—			—			—			50			50			580
Charges related to U.S. Government resolutions		1,364			—			—			—			(988	)		(988	)		376
		75,251			(527	)		—			(2,079	)		(1,067	)		(3,673	)		71,578
Operating income		20,565			(3,234	)		(3,880	)		—			847			(6,267	)		14,298
Other income and (expense)		(605	)		—			—			—			—			—			(605	)
Income before income taxes		19,960			(3,234	)		(3,880	)		—			847			(6,267	)		13,693
Income tax expense		(5,993	)		1,120			1,343			—			(293	)		2,170			(3,823	)
Net income from continuing operations, net of tax	$	13,967		$	(2,114	)	$	(2,537	)	$	—		$	554		$	(4,097	)	$	9,870

11

	Six Months Ended June 30, 2012
				Adjustments by Category
(U.S. Dollars, in thousands)	Previously Reported			Distributor Revenue			Inventory Reserves			Royalties			Other			Total Adjustments			Restated
Net sales	$	235,534		$	(13,256	)	$	—		$	—		$	81		$	(13,175	)	$	222,359
Cost of sales		45,616			(3,572	)		2,668			4,205			8			3,309			48,925
Gross profit		189,918			(9,684	)		(2,668	)		(4,205	)		73			(16,484	)		173,434
Operating expenses
Sales and marketing		99,331			(944	)		—			(4,205	)		21			(5,128	)		94,203
General and administrative		28,865			—			—			—			—			—			28,865
Research and development		16,302			—			—			—			—			—			16,302
Amortization of intangibles assets		1,060			—			—			—			100			100			1,160
Charges related to U.S. Government resolutions		1,364			—			—			—			(678	)		(678	)		686
		146,922			(944	)		—			(4,205	)		(557	)		(5,706	)		141,216
Operating income		42,996			(8,740	)		(2,668	)		—			630			(10,778	)		32,218
Other income and (expense)		(3,457	)		—			—			—			—			—			(3,457	)
Income before income taxes		39,539			(8,740	)		(2,668	)		—			630			(10,778	)		28,761
Income tax expense		(13,356	)		2,209			1,103			—			(250	)		3,062			(10,294	)
Net income from continuing operations, net of tax	$	26,183		$	(6,531	)	$	(1,565	)	$	—		$	380		$	(7,716	)	$	18,467

12

The effects of the restatement on the Company’s condensed consolidated balance sheet as of December 31, 2012 are as follows:

	As of December 31, 2012
(Unaudited, U.S. Dollars, in thousands, except share data)	Previously Reported		Adjustments			Restated
Assets
Current assets:
Cash and cash equivalents	$	31,055	$	—		$	31,055
Restricted cash		21,314		—			21,314
Trade accounts receivable, less allowances of $13,543		150,316		(43,004	)		107,312
Inventories		88,744		(5,371	)		83,373
Deferred income taxes		16,959		16,491			33,450
Prepaid expenses and other current assets		32,056		2,023			34,079
Total current assets		340,444		(29,861	)		310,583
Property, plant and equipment, net		51,362		2,473			53,835
Patents and other intangible assets, net		6,880		410			7,290
Goodwill		74,388		—			74,388
Deferred income taxes		19,904		(1,023	)		18,881
Other long-term assets		11,303		(3,383	)		7,920
Total assets	$	504,281	$	(31,384	)	$	472,897
Liabilities and shareholders’ equity
Current liabilities:
Trade accounts payable	$	21,812	$	763		$	22,575
Other current liabilities		46,985		(7,375	)		39,610
Total current liabilities		68,797		(6,612	)		62,185
Long-term debt		20,000		—			20,000
Deferred income taxes		11,456		—			11,456
Other long-term liabilities		4,930		6,494			11,424
Total liabilities		105,183		(118	)		105,065
Contingencies (Note 16)
Shareholders’ equity:
Common shares $0.10 par value; 50,000,000 shares authorized; 19,339,329 issued and outstanding		1,934		—			1,934
Additional paid-in capital		246,111		195			246,306
Retained earnings		148,549		(33,702	)		114,847
Accumulated other comprehensive income		2,504		2,241			4,745
Total shareholders’ equity		399,098		(31,266	)		367,832
Total liabilities and shareholders’ equity	$	504,281	$	(31,384	)	$	472,897

13

The effects of the restatements on the Company’s condensed consolidated statement of operations and comprehensive income for the three months ended June 30, 2012 are as follows:

	Three Months Ended June 30, 2012
(Unaudited, U.S. Dollars, in thousands, except share and per share  data)	Previously Reported			Adjustments			Restated
Product sales	$	107,906		$	(6,004	)	$	101,902
Marketing service fees		11,586			(65	)		11,521
Net sales		119,492			(6,069	)		113,423
Cost of sales		23,676			3,871			27,547
Gross profit		95,816			(9,940	)		85,876
Operating expenses
Sales and marketing		49,810			(2,735	)		47,075
General and administrative		14,295			—			14,295
Research and development		9,252			—			9,252
Amortization of intangible assets		530			50			580
Charges Related to US Government Resolutions		1,364			(988	)		376
		75,251			(3,673	)		71,578
Operating income		20,565			(6,267	)		14,298
Other income and expense
Interest expense, net		(1,265	)		—			(1,265	)
Other income		660			—			660
		(605	)		—			(605	)
Income before income taxes		19,960			(6,267	)		13,693
Income tax expense		(5,993	)		2,170			(3,823	)
Net income from continuing operations, net of tax		13,967			(4,097	)		9,870
Discontinued operations (Note 16)
Gain on sale of Breg, Inc. (net of tax)		1,040			—			1,040
Loss from discontinued operations		(5,846	)		(7	)		(5,853	)
Income tax benefit		2,044			153			2,197
Net loss from discontinued operations, net of tax		(2,762	)		146			(2,616	)
Net income	$	11,205		$	(3,951	)	$	7,254
Net income (loss) per common share- basic:
Net income from continuing operations, net of tax	$	0.74		$	(0.22	)	$	0.52
Net loss from discontinued operations, net of tax		(0.15	)		0.01			(0.14	)
Net income per common share- basic	$	0.59		$	(0.21	)	$	0.38
Net income (loss) per common share- diluted:
Net income from continuing operations, net of tax	$	0.73		$	(0.22	)	$	0.51
Net loss from discontinued operations, net of tax		(0.15	)		0.01			(0.14	)
Net income per common share- diluted	$	0.58		$	(0.21	)	$	0.37
Weighted average number of common shares:
Basic		18,827,452			—			18,827,452
Diluted		19,215,984			—			19,215,984
Comprehensive income	$	6,822		$	(3,112	)	$	3,710

14

The effects of the restatements on the Company’s condensed consolidated statement of operations and comprehensive income for the six months ended June 30, 2012 are as follows:

	Six Months Ended June 30, 2012
(Unaudited, U.S. Dollars, in thousands, except share and per share  data)	Previously Reported			Adjustments			Restated
Product sales	$	212,726		$	(13,216	)	$	199,510
Marketing service fees		22,808			41			22,849
Net sales		235,534			(13,175	)		222,359
Cost of sales		45,616			3,309			48,925
Gross profit		189,918			(16,484	)		173,434
Operating expenses
Sales and marketing		99,331			(5,128	)		94,203
General and administrative		28,865			—			28,865
Research and development		16,302			—			16,302
Amortization of intangible assets		1,060			100			1,160
Charges Related to US Government Resolutions		1,364			(678	)		686
		146,922			(5,706	)		141,216
Operating income		42,996			(10,778	)		32,218
Other income and expense
Interest expense, net		(3,486	)		—			(3,486	)
Other income		29			—			29
		(3,457	)		—			(3,457	)
Income before income taxes		39,539			(10,778	)		28,761
Income tax expense		(13,356	)		3,062			(10,294	)
Net income from continuing operations, net of tax		26,183			(7,716	)		18,467
Discontinued operations (Note 16)
Gain on sale of Breg, Inc. (net of tax)		1,040			—			1,040
Loss from discontinued operations		(6,352	)		1,026			(5,326	)
Income tax benefit		2,350			130			2,480
Net loss from discontinued operations, net of tax		(2,962	)		1,156			(1,806	)
Net income	$	23,221		$	(6,560	)	$	16,661
Net income (loss) per common share- basic:
Net income from continuing operations, net of tax	$	1.40		$	(0.42	)	$	0.98
Net loss from discontinued operations, net of tax		(0.16	)		0.06			(0.10	)
Net income per common share- basic	$	1.24		$	(0.36	)	$	0.88
Net income (loss) per common share- diluted:
Net income from continuing operations, net of tax	$	1.37		$	(0.41	)	$	0.96
Net loss from discontinued operations, net of tax		(0.16	)		0.07			(0.09	)
Net income per common share- diluted	$	1.21		$	(0.34	)	$	0.87
Weighted average number of common shares:
Basic		18,751,573			—			18,751,573
Diluted		19,168,940			—			19,168,940
Comprehensive income	$	21,548		$	(6,030	)	$	15,518

15

3. Inventories

Inventories are valued at the lower of cost or market, after provision for excess, obsolete or impaired items which is reviewed and updated on a periodic basis by management. For inventory procured or produced, whether internally or through contract manufacturing arrangements, at our manufacturing facility in Italy, cost is determined on a weighted-average basis, which approximates the first in, first out method (“FIFO”), due to the high turn-over rate of inventory at this location. For inventory procured or produced, whether internally or through contract manufacturing arrangements, at our manufacturing facility in Texas, standard costs, which approximates actual cost on a FIFO basis, is used to value inventory. Standard costs are reviewed annually by management, or more often in the event circumstances indicate a change in cost has occurred. The valuation of work-in-process, finished products, field inventory and consignment inventory includes the cost of materials, labor and production costs. Field inventory represents immediately saleable finished products inventory that is in the possession of the Company’s direct sales representatives. Consignment inventory represents immediately saleable finished products located at third party customers, such as distributors and hospitals. Deferred cost of goods sold result from transactions where the Company has shipped product or performed services for which all revenue recognition criteria have not yet been met. Once all revenue recognition criteria have been met, the deferred revenues and associated cost of goods sold are recognized.

Inventories, net of reserves, were as follows:

(US$ in thousands)	June 30, 2013		December 31, 2012
			(Restated)
Raw materials	$	8,639	$	7,623
Work-in-process		8,112		7,886
Finished products		38,342		28,308
Field inventory		24,815		22,629
Consignment inventory		5,955		6,155
Deferred cost of goods sold		9,078		10,772
Total Inventory	$	94,941	$	83,373

4. Patents and other intangible assets

(US$ in thousands)	June 30, 2013			December 31, 2012
				(Restated)
Cost
Patents	$	40,289		$	38,905
Trademarks — definite lived		627			657
		40,916			39,562
Accumulated amortization
Patents		(33,620	)		(31,845	)
Trademarks — definite lived		(439	)		(427	)
		(34,059	)		(32,272	)
Patents and other intangible assets, net	$	6,857		$	7,290

5. Goodwill

The following table presents the changes in the net carrying value of goodwill:

(US$ in thousands)	Total
At December 31, 2012	$	74,388
Foreign currency		(1,630	)
At June 30, 2013	$	72,758

16

6. Bank borrowings

Borrowings under the line of credit consists of borrowings in Euros used to fund international operations. There were no borrowings under such facilities at June 30, 2013 and $0.1 million at December 31, 2012. The weighted average interest rates on borrowings under the line of credit at December 31, 2012 was 3.70%.

The Company had an unused available line of credit of €5.8 million ($7.5 million) and €5.8 million ($7.6 million) at June 30, 2013 and December 31, 2012, respectively, in its Italian line of credit. This line of credit provides the Company the option to borrow amounts in Italy at rates which are determined at the time of borrowing. This line of credit is unsecured.

7. Long-term debt

On August 30, 2010, the Company’s wholly-owned U.S. holding company, Orthofix Holdings, Inc. (“Orthofix Holdings”) entered into a Credit Agreement (the “Credit Agreement”) with certain domestic direct and indirect subsidiaries of the Company (the “Guarantors”), JPMorgan Chase Bank, N.A., as Administrative Agent, RBS Citizens, N.A., as Syndication Agent, and certain lender parties thereto.

The Credit Agreement provides for a five year, $200 million secured revolving credit facility (the “Revolving Credit Facility”), and a five year, $100 million secured term loan facility (the “Term Loan Facility”, and together with the Revolving Credit Facility, the “Credit Facilities”). Orthofix Holdings has the ability to increase the amount of the Credit Facilities by an aggregate amount of up to $50 million upon satisfaction of certain conditions.

In May 2012, the Company used a portion of the proceeds from the sale of Breg, Inc. (“Breg”) (see Note 15) to repay in full the remaining $87.5 million balance on the Term Loan Facility and pay down $57.5 million of amounts outstanding under the Revolving Credit Facility. This use of proceeds was required by the lenders’ consent dated April 23, 2012 to the Credit Agreement. As a result of the sale of Breg, Breg ceased to be a subsidiary of the Company and, therefore, Breg was released as a credit party under the Credit Agreement. Additionally, the Company paid $20 million in June 2012 and $20 million in September 2012 to reduce amounts outstanding under the Revolving Credit Facility. As a result, at December 31, 2012, the Term Loan Facility had been repaid in full and there was $20 million outstanding under the Revolving Credit Facility as of June 30, 2013 and December 31, 2012. Borrowings under the Credit Facilities bear interest at a floating rate, which is, at Orthofix Holdings’ option, either the London Inter-Bank Offered Rate (“LIBOR”) plus an applicable margin or a base rate (as defined in the Credit Agreement) plus an applicable margin (in each case subject to adjustment based on financial ratios). Such applicable margin will be up to 3.25% for LIBOR borrowings and up to 2.25% for base rate borrowings depending upon a measurement of the consolidated leverage ratio with respect to the immediately preceding four fiscal quarters. As of June 30, 2013 and December 31, 2012, the entire Revolving Credit Facility was at the LIBOR rate plus a margin of 2.50%. The effective interest rate on the Credit Facilities as of June 30, 2013 and December 31, 2012 was 2.7%.

Outstanding balances on the Revolving Credit Facility are due on August 30, 2015.

Borrowings under the Revolving Credit Facility, which may be made in the future, will be used for working capital, capital expenditures and other general corporate purposes of Orthofix Holdings and its subsidiaries. The Guarantors have guaranteed repayment of Orthofix Holdings’ obligations under the Credit Agreement. The obligations of Orthofix Holdings and each of the Guarantors with respect to the Credit Facilities are secured by a pledge of substantially all of the assets of Orthofix Holdings and each of the Guarantors.

The Credit Agreement, as amended, requires Orthofix Holdings and the Company to comply with coverage ratios on a consolidated basis and contains affirmative and negative covenants, including limitations on additional debt, liens, investments and acquisitions. The Credit Agreement, as amended, also includes events of default customary for facilities of this type. Upon the occurrence of an event of default, all outstanding loans may be accelerated and/or the lenders’ commitments terminated. On August 14, 2013, we obtained a Limited Waiver which waived requirements under the Credit Agreement to deliver quarterly financial statements for the fiscal quarters ending on June 30, 2013 and September 30, 2013, and related financial covenant certificates, until the earlier of (i) March 31, 2014 or (ii) the date that is one day after such financial statements are publicly filed or released. The Company was in compliance with the affirmative and negative covenants at June 30, 2013 and there were no events of default.

Certain subsidiaries of the Company have restrictions on their ability to pay dividends or make intercompany loan advances pursuant to the Company’s Credit Facilities. The net assets of Orthofix Holdings and its subsidiaries are restricted for distributions to the parent company. Domestic subsidiaries of the Company, as parties to the credit agreement, have access to these net assets for operational purposes.

The amount of restricted net assets of Orthofix Holdings and its subsidiaries as of June 30, 2013 and December 31, 2012 is $217.1 million and $171.9 million, respectively. In addition, the Credit Agreement restricts the Company and subsidiaries that are not parties to the Credit Facilities from access to cash held by Orthofix Holdings, Inc. and its subsidiaries. All of the Company’s subsidiaries that are parties to the Credit Agreement have access to this cash for operational and debt repayment purposes. The amount of restricted cash of the Company as of June 30, 2013 and December 31, 2012 was $20.6 million and $21.3 million, respectively.

17

In conjunction with obtaining the Credit Facilities and the Credit Agreement, as amended, the Company incurred debt issuance costs of $5 million. These costs are being amortized using the effective interest method over the life of the Credit Facilities. In conjunction with the Term Loan Facility repayment in May 2012, the Company wrote off $0.8 million of related debt issuance costs. As of June 30, 2013 and December 31, 2012, debt issuance costs, net of accumulated amortization, related to the Credit Agreement were $1.5 million and $1.8 million, respectively.

8. Derivative instruments

The tables below disclose the types of derivative instruments the Company owns, the classifications and fair values of these instruments within the balance sheet, and the amount of gain (loss) recognized in other comprehensive income (loss) (“OCI”) or net income (loss).

(US$ in thousands) As of June 30, 2013	Fair value: favorable (unfavorable)		Balance sheet location
Cross-currency swap	$	1,033		Other long-term assets
As of December 31, 2012
Cross-currency swap	$	305		Other long-term assets

	Three Months Ended June 30,					Six Months Ended June 30,
(US$ in thousands)	2013		2012			2013			2012
Cross-currency swap unrealized gain (loss) recorded in other comprehensive income (loss), net of taxes	$	222	$	(585	)	$	(96	)	$	(76	)

Cross-currency swap

On September 30, 2010, the Company entered into a cross-currency swap agreement (the “replacement swap agreement”) with JPMorgan Chase Bank and Royal Bank of Scotland PLC (the “counterparties”) to manage its cash flows related to foreign currency exposure for a portion of the Company’s intercompany receivable of a U.S. dollar functional currency subsidiary that is denominated in Euro.

Under the terms of the swap agreement, the Company pays Euros based on a €28.7 million notional value and a fixed rate of 5.00% and receives U.S. dollars based on a notional value of $39 million and a fixed rate of 4.635%. The expiration date is December 30, 2016, the date upon which the underlying intercompany debt, to which the swap agreement applies, matures. The swap agreement is designated as a cash flow hedge and therefore the Company recognized an unrealized gain (loss) on the change in fair value, net of tax, within other comprehensive income (loss).

9. Fair value measurements

Fair value is defined as the price that would be received for an asset or paid to transfer a liability (an exit price) in the principal or most advantageous market for the asset or liability in an orderly transaction between market participants on the measurement date. Non-financial assets and liabilities of the Company measured at fair value include any long-lived assets or equity method investments that are impaired in a currently reported period. The authoritative guidance also describes three levels of inputs that may be used to measure fair value:

Level 1 —	quoted prices in active markets for identical assets and liabilities
Level 2 —	observable inputs other than quoted prices in active markets for identical assets and liabilities
Level 3 —	unobservable inputs in which there is little or no market data available, which require the reporting entity to develop its own assumptions

As of June 30, 2013, the Company’s financial instruments included cash equivalents, restricted cash, accounts receivable, short-term bank borrowings, accounts payable, long-term secured debt and a cross currency derivative contract. Cash equivalents consist of short-term, highly liquid, income-producing investments, all of which have original maturities of 90 days or less, including money market funds. The carrying value of restricted cash, accounts receivable, short-term bank borrowings and accounts payable approximate fair value due to the short-term maturities of these instruments. The Company’s credit facilities carry a floating rate of interest, and therefore, the carrying value is considered to approximate the fair value.

18

The Company’s cross-currency derivative instrument is the only financial instrument recorded at fair value on a recurring basis. This instrument consists of an over-the-counter contract, which is not traded on a public exchange. The fair value of the swap contract is determined based on inputs that are readily available in public markets or can be derived from information available in publicly quoted markets. Therefore, the Company has categorized the swap contract as a Level 2 derivative financial instrument. The Company also considers counterparty credit risk and its own credit risk in its determination of all estimated fair values. The Company has consistently applied these valuation techniques in all periods presented.

The fair value of the Company’s financial assets and liabilities on a recurring basis were as follows:

(US$ in thousands)	Balance June 30, 2013		Level 1		Level 2		Level 3
Derivative financial instruments (1)
Cash flow hedges
Cross-currency swap	$	1,033	$	—	$	1,033	$	—

(1) See Note 8, “Derivative Instruments”

(US$ in thousands)	Balance December 31, 2012		Level 1		Level 2		Level 3
Derivative financial instruments(1)
Cash flow hedges
Cross-currency swap	$	305	$	—	$	305	$	—

10. Comprehensive income (loss)

Accumulated other comprehensive income is comprised of foreign currency translation adjustments and the effective portion of the gain (loss) on the Company’s cross-currency swap, which is designated and accounted for as a cash flow hedge. The components of and changes in accumulated other comprehensive income were as follows:

(US$ in thousands)	Foreign Currency Translation Adjustments			Fair Value  of Cross-Currency Swap			Accumulated Other Comprehensive Income
Balance at December 31, 2012 (Restated)	$	4,614		$	131		$	4,745
Unrealized gain on cross-currency swap, net of tax of $56		—			(96	)		(96	)
Foreign currency translation adjustment (1)		(3,449	)		—			(3,449	)
Balance at June 30, 2013	$	1,165		$	35		$	1,200

(1) As the cash generally remains permanently invested in the non-U.S. dollar denominated foreign subsidiaries, no deferred taxes are recognized on the related foreign currency translation adjustment.

Comprehensive income (loss) was comprised of the following components:

	Three Months Ended June 30,						Six Months Ended June 30,
(US$ in thousands)	2013			2012			2013			2012
				(Restated)						(Restated)
Net income (loss)	$	(2,317	)	$	7,254		$	2,183		$	16,661
Other comprehensive income (loss):
Unrealized gain (loss) on cross-currency swap, net of tax $56		222			(585	)		(96	)		(76	)
Foreign currency translation adjustment		(741	)		(2,827	)		(3,449	)		(956	)
Total comprehensive income (loss)	$	(2,836	)	$	3,842		$	(1,362	)	$	15,629

19

11. Earnings per share

For the three and six months ended June 30, 2013 and 2012, there were no adjustments to net income (loss) for purposes of calculating basic and diluted net income (loss) available to common shareholders. For the three months ended June 30, 2013, potentially dilutive shares totaled 129,524. The following is a reconciliation of the weighted average shares used in the basic and diluted net income (loss) per common share computations.

	Three Months Ended June 30,				Six Months Ended June 30,
	2013		2012		2013		2012
			(Restated)				(Restated)
Weighted average common shares-basic		19,140,520		18,827,452		19,285,004		18,751,573
Effect of dilutive securities:
Unexercised stock options net of treasury share repurchase		129,524		388,532		198,711		417,367
Weighted average common shares-diluted		19,270,044		19,215,984		19,483,715		19,168,940

Options to purchase shares of common stock with exercise prices in excess of the average market price of common shares are not included in the computation of diluted earnings per share. There were 996,478 and 768,269 outstanding options not included in the diluted earnings per share computation for the six months ended June 30, 2013 and 2012, respectively, because the inclusion of these options was anti-dilutive.

12. Share-based compensation

All share-based compensation costs are measured at the grant date, based on the estimated fair value of the award, and are recognized as expense in the condensed consolidated statements of operations over the requisite service period.

The following table shows the detail of share-based compensation by line item in the condensed consolidated statements of operations:

	Three Months Ended June 30,					Six Months Ended June 30,
(US$ in thousands)	2013			2012		2013			2012
				(Restated)					(Restated)
Cost of sales	$	(563	)	$	106	$	(276	)	$	283
Sales and marketing		470			397		906			842
General and administrative		1,530			772		2,705			1,542
Research and development		57			30		102			71
Total	$	1,494		$	1,305	$	3,437		$	2,738

For the six months ended June 30, 2013 and 2012, there were no performance requirements for share-based compensation awarded to employees. In March 2013, the Company granted options to its newly-appointed Chief Executive Officer, which vesting is based on achieving certain market prices for the Company’s common stock.

During the six months ended June 30, 2013 and 2012, there were 143,444 and 218,324 shares, respectively, of common stock issued related to stock purchase plan issuances, stock option exercises and the vesting of restricted stock awards.

13. Income taxes

The Company recognized a $7.7 million and $10.3 million provision for income tax which reflects an effective tax rate of 39.5% and 36.3% on pre-tax income for the six months ended June 30, 2013 and 2012, respectively. For the six months ended June 30, 2012, $0.4 million of income related to legal settlements is discrete and not included in the foregoing calculation of the effective tax rate. Excluding the impact of various discrete charges, the effective tax rate on continuing operations for the first six months of 2013 and 2012 was 39.5% and 40.3%, respectively. The principal factors affecting the Company’s effective tax rate was the Company’s mix of earnings among various tax jurisdictions, state taxes and current period losses in certain jurisdictions for which the Company does not currently provide a tax benefit.

The company applies a more likely than not recognition threshold for all tax uncertainties. Accounting guidance only allows the recognition of those tax benefits that have a greater than 50% likelihood of being sustained upon examination by the taxing authorities. As of June 30, 2013 and December 31, 2012, the Company’s unrecognized tax benefit was $0.8 million and $1.2 million, respectively. In March 2013 the Company settled a $0.9 million liability that had been previously accrued as of December 31, 2012. The entire amount of unrecognized tax benefits, including interest, would favorably impact the Company’s effective tax rate if recognized. As of June 30, 2013, the Company does not expect the amount of unrecognized tax benefits to change significantly over the next twelve months.

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Unremitted foreign earnings increased from $285.3 million at December 31, 2011 to $292 million at December 31, 2012. The $292 million includes $293.8 million in U.S subsidiaries. The Company does not anticipate any impact on income tax liabilities since earnings are permanently reinvested for both U.S and non-U.S. subsidiaries.

14. Business segment information

The Company’s segment information (as provided below) has been prepared based on the Company’s two global business units (“GBU”) reporting segments, Spine and Orthopedics. The accounting policies of the segments are the same as those described in the business segment information found in Note 13 to the Consolidated Financial Statements included in the 2012 Form 10-K/A.

The table below presents external net sales by GBU reporting segment. Net sales include product sales and marketing service fees. Marketing service fees, which are recorded on a net basis, are comprised of fees earned for the marketing of Trinity Evolution ^®, Trinity ELITE^™ and Versashield^® in spine and orthopedic applications.

	External Net Sales by GBU
	Three Months Ended June 30,
(US$ in thousands)	2013		2012		Reported Decline			Constant Currency Decline
			(Restated)
Spine
Spine Repair Implants and Regenerative Biologics	$	33,953	$	35,135		(3	)%		(10	)%
Spine Regenerative Stimulation		34,088		41,759		(18	)%		(21	)%
Total Spine		68,041		76,894		(12	)%		(16	)%
Orthopedics		30,239		36,529		(17	)%		(5	)%
Total Net Sales	$	98,280	$	113,423		(13	)%		(12	)%

	External Net Sales by GBU
	Six Months Ended June 30,
(US$ in thousands)	2013		2012		Reported Decline			Constant Currency Decline
			(Restated)
Spine
Spine Repair Implants and Regenerative Biologics	$	70,233	$	69,528		1	%		1	%
Spine Regenerative Stimulation		67,832		80,549		(16	)%		(16	)%
Total Spine		138,065		150,077		(8	)%		(8	)%
Orthopedics		63,588		72,282		(12	)%		(11	)%
Total Net Sales	$	201,653	$	222,359		(9	)%		(10	)%

The table below presents operating income (loss) by GBU reporting segment:

Operating Income (Loss) by GBU	Three Months Ended June 30,						Six Months Ended June 30,
(US$ in thousands)	2013			2012			2013			2012
				(Restated)						(Restated)
Spine	$	15,440		$	16,278		$	30,121		$	38,297
Orthopedics		(1,110	)		2,521			930			2,592
Corporate		(5,526	)		(4,501	)		(14,160	)		(8,671	)
Total	$	8,804		$	14,298		$	16,891		$	32,218

15. Sale of Breg and Disposition of Sports Medicine GBU

On April 23, 2012, the Company’s subsidiary Orthofix Holdings and Breg entered into a stock purchase agreement (the “SPA”) with Breg Acquisition Corp. (“Buyer”), a newly formed affiliate of Water Street Healthcare Partners II, L.P., pursuant to which Buyer agreed to acquire from Orthofix Holdings all the outstanding shares of Breg, subject to the terms and conditions contained therein (the

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“Transaction”). Under the terms of the SPA, upon closing of the sale, Orthofix Holdings and the Company agreed to indemnify Buyer with respect to certain specified matters, including the government investigation and product liability matters regarding a previously owned infusion pump product line, pre-closing sales of cold therapy units and certain post-closing sales of cold therapy units. (See “Matters Related to the Company’s Former Breg Subsidiary and Possible Indemnification Obligations” under Note 17 to the Consolidated Financial Statements included in the 2012 Form 10-K/A.) On May 24, 2012 (the “Closing Date”), Orthofix Holdings completed the sale of all of the outstanding shares of Breg for $157.5 million in cash. After adjustments for working capital and indebtedness in accordance with the terms of the SPA, Orthofix Holdings used $145 million of the net proceeds to prepay outstanding Company indebtedness, as required by a lender consent received in connection with the Company’s existing Credit Agreement. As a result of the closing of this Transaction, Breg ceased to be a subsidiary of the Company and, therefore, Breg was released as a credit party under the Credit Agreement. The Company also agreed to enter into certain transition arrangements at the closing, including a transition services agreement pursuant to which the Company agreed to continue to provide administrative operational support for a period of up to twelve months. As a result of the sale of Breg, the Company completed its exit from the Sports Medicine GBU, of which Breg was a significant component.

The portion of indemnification related to post closing claims related to post-closing sales of cold therapy has created a guarantee under Accounting Standards Codification ASC 460, Guarantees, and the fair value of the liability has been recorded under the initial recognition criteria in the amount of $2 million at the Closing Date. The Company will amortize the fair value of the noncontingent liability ratably over the period of indemnification, which is three years. The Company’s obligations under this guarantee were approximately $1.3 million and $1.6 million as of June 30, 2013 and December 31, 2012, respectively.

Gain on Sale of Discontinued Operations

The following table presents the value of the asset disposition, proceeds received, net of various working capital adjustments and indebtedness and net gain on sale of Breg as shown in the condensed consolidated statement of operations for the year ended December 31, 2012.

(US$ in thousands)	Total
Cash proceeds	$	157,500
Less:
Working Capital		(7,093	)
Transaction related expenses		(4,276	)
Fair value of indemnification		(2,000	)
Tangible assets		(8,309	)
Intangible assets		(28,164	)
Goodwill		(106,200	)
Gain on sale of Breg before income taxes		1,458
Income tax expense		(113	)
Gain on sale of Breg, net of taxes	$	1,345

Included in discontinued operations for the three and six months ended June 30, 2013 is 8.8 million and $12.8 million, respectively, of expense related to the Company’s indemnification of certain specified matters described above.

The Company’s consolidated financial statements and related footnote disclosures reflect the Sports Medicine GBU as discontinued operations. Income (loss) associated with the Sports Medicine GBU, net of applicable income taxes is shown as income (loss) from discontinued operations for all periods presented in accordance with ASC 205-20, Discontinued Operations.

16. Contingencies

The Company is a party to certain outstanding legal proceedings, investigations and claims. These matters (including certain matters occurring in 2013) are described in the 2012 Form 10-K/A. There have been no material developments in these matters since the filing of the 2012 Form 10-K/A.

17. Stock Repurchase Program

On May 8, 2013, the Company announced that the Board of Directors had authorized a share repurchase program in an amount up to $50 million. Repurchases began on May 10, 2013 consisting primarily of open market transactions at prevailing market prices in accordance with the guidelines specified under Rule 10b-18 of the Securities Exchange Act of 1934, as amended. Repurchases are being made from cash on hand, cash generated from operations and additional borrowings. The timing of the transactions and the aggregate number of shares of common stock that will be ultimately repurchased under the repurchase program will depend on a variety of factors, including market conditions and the prices at which the securities are repurchased. The Company may discontinue

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repurchases without prior notice at any time if the Company determines additional repurchases are not warranted. During the fiscal quarter ended June 30, 2013, the Company made total repurchases in an amount equal to $26.9 million. Between June 30, 2013 and the date of this Form 10-Q, the Company has made additional repurchases in an amount equal to $12.6 million, all of which additional repurchases occurred in the fiscal quarter ended September 30, 2013.

18. Subsequent Events

In August 2013, as a result of the delay in filing this Report and expected delay in filing our Quarterly Report on Form 10-Q for the quarterly period ended September 30, 2013, we sought and obtained a Limited Waiver which waived requirements under the Credit Agreement to deliver quarterly financial statements for the fiscal quarters ending on June 30, 2013 and September 30, 2013, and related financial covenant certificates, until the earlier of (i) March 31, 2014 or (ii) the date that is one day after such financial statements are publicly filed or released.

We have been delinquent in the filing of our Quarterly Reports on Form 10-Q for the fiscal quarters ended June 30, 2013 and September 30, 2013, as a result of which we have not been in compliance with the rules of the Nasdaq Stock Market and are subject to having our stock delisted from trading on Nasdaq. We have been granted a stay of the delisting of our common stock until such time as a Nasdaq Hearings Panel makes a decision on the merits following a hearing, which hearing has been scheduled for March 27, 2014. We expect to file our Quarterly Report on Form 10-Q for the fiscal quarter ended September 30, 2013 on March 24, 2014. We also expect to file our Annual Report on Form 10-K for the year ended December 31, 2013 (which is otherwise due under SEC rules on March 17, 2014) by March 31, 2014. As a result, we currently believe that we will adequately remedy our current non-compliance with Nasdaq’s listing rules. However, there can be no assurance that the Nasdaq hearings panel will concur with our belief that we have remedied our prior non-compliance, in which case our common stock could remain subject to delisting by Nasdaq.

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Item 2. Management’s Discussion and Analysis of Financial Condition and Results of Operations

The following discussion and analysis addresses the results of our operations which are based upon the consolidated financial statements included herein, which have been prepared in accordance with US GAAP, for the three and six months ended June 30, 2013 compared to the three and six months ended June 30, 2012. As discussed below and in Part I, Item 1, “Financial Statements” – “Note 2 – Restatement of Condensed Consolidated Financial Statements,” we have restated our previously issued consolidated financial statements for certain prior periods, including the three and six months ended June 30, 2012. These discussions should be read in conjunction with our historical consolidated financial statements and related notes thereto and the other financial information included in this Form 10-Q and in the Amendments.

Restatement of Previously Issued Consolidated Financial Statements

As described further below and herein, this Form 10-Q reflects the restatement of our consolidated financial statements as of and for the three and six months ended June 30, 2012. The restatement, which also covers prior and subsequent periods to these, corrects errors principally related to our accounting for revenue recognition for sales to distributors, our accounting for inventory reserves and our accounting for royalties. This Management’s Discussion and Analysis of Financial Condition and Results of Operations gives effect to the restatement adjustments for the three and six months ended June 30, 2012. See Note 2 to our condensed consolidated financial statements, which accompany the financial statements in Part I, Item 1 of this Report, for further detail regarding the restatement adjustments. In addition, for further information regarding the matters leading to the restatement and related findings respect to our disclosure controls and procedures and internal control over financial reporting, see Part I, Item 4, “Controls and Procedures” of this Form 10-Q.

Audit Committee Review

In conjunction with the Independent Review conducted by the Audit Committee described in Note 2 to the condensed consolidated financial statements included in Part I, Item 1 of this Form 10-Q, management concluded that errors existed in the Company’s previously issued financial statements with respect to the fiscal years ended December 31, 2012, 2011 and 2010, and the fiscal quarter ended March 31, 2013. There were also similar types of errors identified as affecting the Company’s previously issued consolidated financial statements for the fiscal years ended December 31, 2009, 2008 and 2007, for which we included restated consolidated financial information for the fiscal years ended December 31, 2009 and 2008 in the “Selected Financial Data” table of the 2012 Form 10-K/A. Adjustments prior to January 1, 2010 were recognized as a cumulative adjustment to beginning retained earnings in the consolidated statements of changes in shareholders’ equity included in the consolidated financial statements included in Item 8 of the 2012 Form 10-K/A.

In reaching these conclusions, the we considered information obtained in the Independent Review, including emails, data and interviews with current and former employees that indicated (i) the existence of extra-contractual terms or arrangements at the onset of the sale and concessions agreed to subsequent to the initial sale (such as extended payment terms, and return and exchange

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rights for sales to distributors with respect to certain transactions), including some with which certain senior-level personnel were involved, (ii) that at the time of some sales collection was not reasonably assured, and (iii) that certain amounts previously characterized as commissions were paid to related parties of the applicable customer.

We assessed the information derived from the Independent Review in making determinations with respect to accounting adjustments reflected in the restated consolidated financial statements contained in this Form 10-Q and the Amendments, and such determinations are consistent with the findings of the Independent Review. In addition to the matters that were the subject of the Independent Review, certain other adjustments identified by management, including revisions to inventory reserves and royalties, were made to the consolidated financial statements in connection with the restatement.

General Overview

We are a diversified, global medical device company focused on developing and delivering innovative repair and regenerative solutions to the spine and orthopedic markets. Our products are designed to address the lifelong bone-and-joint health needs of patients of all ages, helping them achieve a more active and mobile lifestyle. We design, develop, manufacture, market and distribute medical equipment used principally by musculoskeletal medical specialists for orthopedic applications. Our main products are invasive and minimally invasive spinal implant products and related human cellular and tissue based products (“HCT/P products”), non-invasive regenerative stimulation products used to enhance bone growth and the success rate of spinal fusions and to treat non-union fractures, external and internal fixation devices used in fracture repair, limb lengthening and bone reconstruction. Our products also include bone cement and devices for removal of bone cement used to fix artificial implants.

We have administrative and training facilities in the United States (“U.S.”), Brazil, the United Kingdom, France, Germany, Puerto Rico and Italy and manufacturing facilities in the U.S. and Italy. The Spine global business unit (“GBU”) directly distributes products in the U.S. and commencing in the first quarter of 2013 in Germany and commencing in the third quarter of 2013 in Australia. The orthopedics GBU directly distributes products in the U.S., the United Kingdom, Italy, Germany, Switzerland, Austria, France, Belgium, Brazil and Puerto Rico. In several of these and other markets we also distribute our products through independent distributors.

Our condensed consolidated financial statements include the financial results of our Company and our wholly-owned and majority-owned subsidiaries and entities over which we have control. All intercompany accounts and transactions are eliminated in consolidation.

Our reporting currency is the U.S. Dollar. All balance sheet accounts, except shareholders’ equity, are translated at period-end exchange rates and revenue and expense items are translated at weighted average rates of exchange prevailing during the period. Gains and losses resulting from foreign currency transactions are included in other income and expense. Gains and losses resulting from the translation of foreign currency financial statements are recorded in the accumulated other comprehensive income component of shareholders’ equity.

Our financial condition, results of operations and cash flows are not significantly impacted by seasonality trends. However, sales associated with products for elective procedures appear to be influenced by the somewhat lower volume of such procedures performed in the late summer. In addition, we do not believe our operations will be significantly affected by inflation. However, in the ordinary course of business, we are exposed to the impact of changes in interest rates and foreign currency fluctuations. Our objective is to limit the impact of such movements on earnings and cash flows. In order to achieve this objective, we seek to balance non-dollar denominated income and expenditures. During the period, we have used derivative instruments to hedge foreign currency fluctuation exposures. See Item 3, Quantitative and Qualitative Disclosures About Market Risk.

We manage our business by our two GBU’s, which are comprised of Spine and Orthopedics, supported by our Corporate activities. These GBUs represent the current segments in which our Chief Operating Decision Maker reviews financial information and makes resource allocation decisions among business units. Accordingly, our segment information (as provided below) has been prepared based on our two GBU reporting segments. Corporate activities not necessarily identifiable within the two GBUs are recorded as part of Corporate.

Spine

Spine provides a portfolio of repair and regenerative products that allow physicians to successfully treat a variety of spinal conditions. This global business unit specializes in the design, development and marketing of our spine repair products along with regenerative stimulation and biologics products used in spine applications. Spine distributes its products through a network of distributors, sales representatives and affiliates. This GBU uses both direct and distributor sales representatives to sell spine products to hospitals, doctors and other healthcare providers, globally.

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Orthopedics

Orthopedics provides a portfolio of repair and regenerative products that allow physicians to successfully treat a variety of orthopedic conditions unrelated to spine. This global business unit specializes in the design, development and marketing of our orthopedic repair products along with regenerative stimulation and biologics products used in orthopedic applications. Orthopedics distributes its products through a network of distributors, sales representatives and affiliates. This GBU uses both direct and distributor sales representatives to sell orthopedics products to hospitals, doctors and other healthcare providers, globally.

Corporate

Corporate activities are comprised of the operating expenses of Orthofix International N.V. and its holding company subsidiaries, along with activities not necessarily identifiable with the two GBUs.

GBU Revenues

The following table displays net sales by GBU for the three and six months ended June 30, 2013 and 2012.

	External Net Sales by GBU
	Three Months Ended June 30,
(US$ in thousands)	2013		2012		Reported Decline			Constant Currency Decline
			(Restated)
Spine
Spine Repair Implants and Regenerative Biologics	$	33,953	$	35,135		(3	)%		(10	)%
Spine Regenerative Stimulation		34,088		41,759		(18	)%		(21	)%
Total Spine		68,041		76,894		(12	)%		(16	)%
Orthopedics		30,239		36,529		(17	)%		(5	)%
Total Net sales	$	98,280	$	113,423		(13	)%		(12	)%
	External Net Sales by GBU
	Six Months Ended June 30,
(US$ in thousands)	2013		2012		Reported Decline			Constant Currency Decline
			(Restated)
Spine
Spine Repair Implants and Regenerative Biologics	$	70,233	$	69,528		1	%		1	%
Spine Regenerative Stimulation		67,832		80,549		(16	)%		(16	)%
Total Spine		138,065		150,077		(8	)%		(8	)%
Orthopedics		63,588		72,282		(12	)%		(11	)%
Total Net sales	$	201,653	$	222,359		(9	)%		(10	)%

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The following table presents certain items in our condensed consolidated statements of operations as a percent of total net sales for the periods indicated:

	Three Months Ended June 30,					Six Months Ended June 30,
	2013 (%)			2012 (%)		2013 (%)		2012 (%)
				(Restated)				(Restated)
Net sales		100			100		100		100
Cost of sales		21			24		23		22
Gross profit		79			76		77		78
Operating expenses:
Sales and marketing		46			42		45		42
General and administrative		15			13		17		13
Research and development		9			8		7		7
Amortization of intangible assets		1			1		1		1
Charges related to U.S. Government inquiries		—			1		—		1
Operating income (loss)		9			13		8		14
Net income (loss)		(2	)		6		1		7

Three Months Ended June 30, 2013 Compared to Three Months Ended June 30, 2012

Net sales decreased $15.1 million to $98.3 million in the second quarter of 2013 compared to $113.4 million for the same period last year. The impact of foreign currency decreased sales by $1.0 million during the second quarter of 2013 when compared to the second quarter of 2012.

Sales

Net sales in our Spine GBU decreased to $68.0 million in the second quarter of 2013 compared to $76.9 million for the same period last year, a decrease of $8.9 million. The decrease in Spine’s net sales was primarily the result of a 18% decrease in the sales of our Regenerative Stimulation products used in Spine applications when compared to the prior year. Revenue from our Repair Implants and Regenerative Biologics revenue products in the second quarter of 2013 decreased 3% when compared to the same period in the prior year.

Net sales in our Orthopedics GBU decreased 17% to $30.2 million in the second quarter of 2013 compared to $36.5 million for the same period last year. Historically, for most distributor transactions within our Orthopedics GBU, other than distributors within Brazil and four other distributors that did not meet the fixed or determinable or collectability revenue recognition criteria, we recorded revenue on the sell-in accounting basis. However, as described more fully in Note 2 to the Consolidated Financial Statements, we have reassessed our application of distributor revenue recognition and have applied sell-through accounting for distributor transactions within the Orthopedic GBU on a prospective basis beginning on April 1, 2013 which caused the majority of the decrease in net sales in the second quarter of 2013 compared to the second quarter of 2012.

Gross Profit — Our gross profit decreased $7.9 million to $78.0 million in the second quarter of 2013 compared to $85.9 million for the same period last year. Gross profit as a percent of net sales in the second quarter of 2013 was 79.4% for the second quarter of 2013 and 75.7% for 2012 during the same period. This decrease was primarily attributable to the decline in sales of our Regenerative Stimulation products which have a higher gross margin compared to our other products.

Sales and Marketing Expense — Sales and marketing expense, which includes commissions and the bad debt provision, generally increase and decrease in relation to sales. Sales and marketing expense decreased $2.2 million, to $44.9 million in the second quarter of 2013 compared to $47.1 million in the second quarter of 2012. As a percent of net sales, sales and marketing expense was 45.7% and 41.5% in the second quarter of 2013 and 2012, respectively. This increase as a percent of sales was due to higher commissions as a percent of sales in the second quarter 2013 compared to the second quarter of 2012.

General and Administrative Expense — General and administrative expense increased $0.9 million, or 6%, in the second quarter of 2013 to $15.2 million compared to $14.3 million in the second quarter of 2012 which was primarily due to management succession charges. General and administrative expense as a percent of net sales was 15.5% in the second quarter of 2013 compared to 12.6% for the same period last year.

Research and Development Expense — Research and development expense decreased $0.7 million in the second quarter of 2013 to $8.6 million compared to $9.3 million in the second quarter of 2012. The decrease in research and development expenses in the second quarter of 2013 compared to the same period in the prior year was primarily due to a $3.1 million charge for an arbitration resolution related to a 2008 co-development agreement in 2012, partially offset by a $2 million investment with Musculoskeletal Transplant Foundation (“MTF”) for the development and commercialization of the next generation cell-based bone growth technology in 2013. As a percent of net sales, research and development expense was 8.7% in the second quarter of 2013 compared to 8.2 % for the same period last year.

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Amortization of Intangible Assets — Amortization of intangible assets was $0.6 million in the second quarter of 2013 and for the same period last year.

Charges Related to U.S. Government Resolutions — We recorded no charge in the second quarter of 2013 and a $0.4 million charge in the same period of the prior year, which represents imputed interest accrued on the previously disclosed settlements in principle of the U.S. government investigations and related qui tam complaints related to our regenerative stimulation business and Blackstone Medical Inc.

Interest Expense, net — Interest expense, net was $0.5 million for the second quarter of 2013 compared to $1.3 million for the same period last year, primarily as the result of a lower year over year outstanding debt balance repaid with a portion of the proceeds from the sale of Breg.

Other Income and Expense — Other income (expense) was $(1.2) million and $0.7 million for the second quarters of 2013 and 2012, respectively. The fluctuation can be mainly attributable to the effect of foreign exchange. Several of our foreign subsidiaries hold trade payables or receivables in currencies (most notably the U.S. Dollar) other than their functional (local) currency which results in foreign exchange gains or losses when there is relative movement between those currencies.

Income Tax Expense — Our worldwide effective tax rate was 42.1% and 28.7% during the second quarters of 2013 and 2012, respectively. For the three months ended June 30, 2012, $0.4 million of income related to legal settlements is discrete and not included in the foregoing calculation of the effective tax rate. When adjusted for various discrete items, the effective tax rate for the second quarter of 2013 and 2012 was 41.8% and 41.2%, respectively. These rates are affected by the mix of earnings among various tax jurisdictions and losses incurred in a number of foreign jurisdictions, for which we do not currently recognize a tax benefit. We do not believe that it is more likely than not that we will generate sufficient future income in these jurisdictions to allow for the utilization of these losses before their expiration.

Discontinued operations — Discontinued operations in 2013 include approximately $3.7 million of legal settlements and legal costs, net of income taxes, related to certain specified product liability matters related to its former subsidiary, Breg. We agreed to indemnify Breg and its purchaser with respect to such matters. Discontinued operations in the second quarter of 2012 includes the results of our Sports Medicine GBU up to May 24, 2012 (the closing date of the sale of Breg), net of income taxes. The second quarter of 2012 also includes the gain on the sale of Breg, of $1.0 million, net of income taxes.

Net Income (loss) — Net income (loss) for the second quarter of 2013 was a net (loss) of $(2.3) million, or $(0.12) per basic and diluted share, compared to net income of $7.3 million, or $0.38 per basic share and $0.37 per diluted share for the same period last year.

Six Months Ended June 30, 2013 Compared to Six Months Ended June 30, 2012

Net sales decreased $20.7 million to $201.7 million in the first six months of 2013 compared to $222.4 million for the same period last year. The impact of foreign currency increased sales by $1.5 million during the first six months of 2013 when compared to the same period of 2012.

Sales

Net sales in our Spine GBU decreased to $138.1 million in the first six months of 2013 compared to $150.1 million for the same period last year, a decrease of $12.0 million. The decrease in Spine’s net sales was primarily the result of a 16% decrease in sales of our Spine Regenerative Stimulation revenue products in the first six months of 2013 when compared to the same period in the prior year. Sales were slightly positively impacted by a 1% growth in Spine Repair Implants and Regenerative Biologics as compared to same period in the prior year.

Net sales in our Orthopedics GBU decreased 12%, to $63.6 million in the first six months of 2013 compared to $72.3 million for the same period last year. Historically, for most distributor transactions within our Orthopedics GBU, other than distributors within Brazil and four other distributors that did not meet the fixed or determinable or collectability revenue recognition criteria, we recorded revenue on the sell-in accounting basis. However, as described more fully in Note 2 to the Condensed Consolidated Financial Statements, we have reassessed our application of distributor revenue recognition and have applied sell-through accounting for distributor transactions within the Orthopedic GBU on a prospective basis beginning on April 1, 2013 which caused the majority of the decrease in net sales in the second quarter of 2013. This was the primary reason for the decrease in sales in the first six months of 2013 compared to the first six months of 2012.

Gross Profit — Our gross profit decreased $17.6 million to $155.8 million in the first six months of 2013, compared to $173.4 million for the same period last year. Gross profit as a percent of net sales in the first six months of 2013 was 77.3% for the first six months of 2013 and 78.0% in 2012 during the same period. This decrease was primarily attributable to the decline in sales of our Regenerative Stimulation products which have a higher gross margin compared to our other products.

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Sales and Marketing Expense — Sales and marketing expense, which includes commissions and the bad debt provision, generally increase and decrease in relation to sales. Sales and marketing expense decreased $4.2 million, to $90.0 million in the first six months of 2013 compared to $94.2 million in the first six months of 2012. As a percent of net sales, sales and marketing expense was 44.6% and 42.4% in the first six months of 2013 and 2012, respectively. This increase as a percent of sales was due to higher commissions as a percent of sales in the first six months of 2013 compared to the first six months of 2012.

General and Administrative Expense — General and administrative expense increased $4.6 million, or 15.9%, in the first six months of 2013 to $33.5 million compared to $28.9 million in the first six months of 2012. General and administrative expense as a percent of net sales was 16.6% in the first six months of 2013 compared to 13.0% for the same period last year. The increase is attributable primarily to management succession charges and increased legal fees.

Research and Development Expense — Research and development expense decreased $2.0 million in the first six months of 2013 to $14.3 million compared to $16.3 million for the same period last year. As a percent of sales, research and development expense was 7.1% in the first six months of 2013 compared to 7.3% for the same period last year. The decrease in research and development expenses in the first six months of 2013 compared to the same period in the prior year was due to a $3.1 million charge for an arbitration resolution related to a 2008 co-development agreement and a $1 million investment with Musculoskeletal Transplant Foundation (“MTF”) for the development and commercialization of the next generation cell-based bone growth technology in 2012 offset by a $2 million investment with MTF in 2013 along with the timing of spending related to our ongoing research, development and clinical activities.

Amortization of Intangible Assets — Amortization of intangible assets was $1.1 million in the first six months of 2013 compared to $1.2 million for the same period in 2012.

Charges Related to U.S. Government Resolutions — We recorded no charge in the second quarter of 2013 and a $0.7 million charge in the same period of the prior year, which represents imputed interest accrued on the previously disclosed settlements in principle of the U.S. government investigations and related qui tam complaints related to our regenerative stimulation business and Blackstone Medical Inc.

Interest Expense, net — Interest expense, net was $1.0 million for the first six months of 2013 compared to $3.5 million for the same period last year, primarily as the result of a lower rate of effective interest and a lower year over year outstanding debt balance repaid with a portion of the proceeds from the sale of Breg, Inc.

Other Income and Expense — Other income, net was $3.6 million for the first six months of 2013 and was $0.1 million compared to the same period of 2012, respectively. The fluctuation can be mainly attributable to our receipt of $4.4 million cash related to the demutualization of a mutual insurance company in which we were an eligible member to share in such proceeds. Other income (expense) also includes the effect of foreign exchange. Several of our foreign subsidiaries hold trade payables or receivables in currencies (most notably the U.S. Dollar) other than their functional (local) currency which results in foreign exchange gains or losses when there is relative movement between those currencies.

Income Tax Expense — Our worldwide effective tax rate was 39.5% and 36.3% during the first six months of 2013 and 2012, respectively. For the six months ended June 30, 2012, $0.4 million of income related to legal settlements is discrete and not included in the foregoing calculation of the effective tax rate. When adjusted for various discrete items, the effective tax rate for the first six months of 2013 and 2012 was 39.5% and 40.3%, respectively. These rates are affected by the mix of earnings among various tax jurisdictions and losses incurred in a number of foreign jurisdictions, for which we do not currently recognize a tax benefit. We do not believe that it is more likely than not that we will generate sufficient future income in these jurisdictions to allow for the utilization of these losses before their expiration.

Discontinued operations — Discontinued operations in the first six months of 2013 include approximately $8.1 million of legal settlements and legal costs, net of income taxes, related to certain specified product liability matters related to its former subsidiary, Breg. We agreed to indemnify Breg and its purchaser with respect to such matters. Discontinued operations in the first six months of 2012 includes the results of our Sports Medicine GBU up to May 24, 2012 (the closing date of the sale of Breg), net of income taxes. The first six months of 2012 also includes the gain on the sale of Breg, of $1.0 million, net of income taxes.

Net Income (loss)— Net income for the first six months of 2013 was $2.2 million, or $0.11 per basic and diluted share, compared to net income of $16.7 million, or $0.88, per basic share and $0.87 per diluted share for the same period last year.

Liquidity and Capital Resources

Cash and cash equivalents including Restricted Cash at June 30, 2013 were $48.0 million, of which $20.6 million was subject to certain restrictions under the senior secured credit agreement described below. This compares to cash and cash equivalents of $52.4 million at December 31, 2012, of which $21.3 million was subject to certain restrictions under the senior secured credit agreement discussed below.

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Net cash provided by operating activities was $34.2 million and $57.8 million for the six months ended June 30, 2013 and 2012, respectively. Net cash provided by operating activities is comprised of net income, non-cash items (including depreciation and amortization, provision for doubtful accounts, share-based compensation and deferred income taxes) and changes in working capital. Net income decreased $14.5 million to net income of $2.2 million for the six months ended June 30, 2013 from a net income of $16.7 million for the comparable period in the prior year. Non-cash items for the six months ended June 30, 2013 increased $9.8 million to $19.7 million compared to non-cash items of $9.8 million in the same period of 2012. Working capital accounts provided $12.3 million and $31.3 million of cash for the six months ended June 30, 2013 and 2012, respectively. For the six months ended June 30, 2013, working capital accounts were impacted by $41.5 million in cash we received from the Blackstone escrow fund which was recorded in Restricted Cash in accordance with the credit facility. Overall performance indicators for our two primary working capital accounts, accounts receivable and inventory reflect day’s sales in receivables of 79 days at June 30, 2013 and 87 days at June 30, 2012, and inventory turns of 1.0 times as of June 30, 2013 and 1.3 times as of June 30, 2012.

Net cash used by investing activities was $13.5 million for the six months ended June 30, 2013 compared to net cash provided by investing activities of $140.1 million for the six months ended June 30, 2012. During the second quarter of 2012, we sold Breg, Inc. for net proceeds of $153.1 million. During the six months ended June 30, 2013 and 2012, we invested $13.5 million and $13.0 million in capital expenditures, respectively.

Net cash used in financing activities was $23.9 million for the six months ended June 30, 2013 compared to $180.9 million for the six months ended June 30, 2012. During the six months ended June 30, 2013, we made no repayments on our revolving debt as compared to $168.7 million during the six months ended June 30, 2012. Our restricted cash balance usage of $25.8 million in the six months ended June 30, 2012 primarily related to the cash received from the Blackstone escrow fund which was recorded in Restricted Cash in accordance with the credit facility. Our restricted cash balance decreased $0.7 million in the six months ended June 30, 2013. During the six months ended June 30, 2013 and 2012, we received proceeds of $2.2 million and $13.3 million, respectively, from the issuance of 143,444 shares and 218,324 shares, respectively, of our common stock related to stock purchase plan issuances, stock option exercises and the vesting of restricted stock awards. During the three months ended June 30, 2013 we purchased 988,515 of our outstanding shares associated with the stock repurchase program for a total of $26.9 million.

On August 30, 2010, our wholly-owned U.S. holding company, Orthofix Holdings, Inc. (“Orthofix Holdings”) entered into a Credit Agreement (the “Credit Agreement”) with certain of our domestic direct and indirect subsidiaries (the “Guarantors”), JPMorgan Chase Bank, N.A., as Administrative Agent, RBS Citizens, N.A., as Syndication Agent, and certain lender parties thereto.

The Credit Agreement provides for a five year, $200.0 million secured revolving credit facility (the “Revolving Credit Facility”), and a five year, $100.0 million secured term loan facility (the “Term Loan Facility”, and together with the Revolving Credit Facility, the “Credit Facilities”). Orthofix Holdings has the ability to increase the amount of the Credit Facilities by an aggregate amount of up to $50 million upon satisfaction of certain conditions.

In May 2012, we used a portion of the proceeds from the sale of Breg, Inc. to repay the $87.5 million remaining balance on the Term Loan Facility and pay down $57.5 million of amounts outstanding under the Revolving Credit Facility. This use of proceeds was required by the lenders’ consent dated April 23, 2012 to the Credit Agreement. Additionally, we paid $20 million in June 2012 and $20 million in September 2012 to reduce amounts outstanding under the Revolving Credit Facility.

As of June 30, 2013, the Term Loan Facility had been repaid in full and there was $20 million outstanding under the Revolving Credit Facility. Borrowings under the Credit Facilities bear interest at a floating rate, which is, at Orthofix Holdings’ option, either the London Inter-Bank Offered Rate (“LIBOR”) plus an applicable margin or a base rate (as defined in the Credit Agreement) plus an applicable margin (in each case subject to adjustment based on financial ratios). Such applicable margin will be up to 3.25% for LIBOR borrowings and up to 2.25% for base rate borrowings depending upon a measurement of the consolidated leverage ratio with respect to the immediately preceding four fiscal quarters. As of June 30, 2013 and December 31, 2012, the entire Revolving Credit Facility was at the LIBOR rate plus a margin of 2.50%. The effective interest rate on the Credit Facilities at June 30, 2013 and December 31, 2012 was 2.7%.

Outstanding balances on the Revolving Credit Facility are due on August 30, 2015.

Borrowings under the Revolving Credit Facility, which may be made in the future, will be used for working capital, capital expenditures and other general corporate purposes of Orthofix Holdings and its subsidiaries. The Guarantors have guaranteed repayment of Orthofix Holdings’ obligations under the Credit Agreement. The obligations of Orthofix Holdings and each of the Guarantors with respect to the Credit Facilities are secured by a pledge of substantially all of the assets of Orthofix Holdings and each of the Guarantors.

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The Credit Agreement as amended requires us and Orthofix Holdings to comply with coverage ratios on a consolidated basis and contains affirmative and negative covenants, including limitations on additional debt, liens, investments and acquisitions. On June 27, 2013, we obtained a Limited Waiver which waived requirements under the Credit Agreement with the minimum Fixed Charge Coverage Ratio for the twelve month period ending on June 30, 2013. Also on, August 14, 2013, we obtained a Limited Waiver which waived requirements under the Credit Agreement to deliver quarterly financial statements for the fiscal quarters ending on June 30, 2013 and September 30, 2013, and related financial covenant certificates, until the earlier of (i) March 31, 2014 or (ii) the date that is one day after such financial statements are publicly filed or released. We believe we were in compliance with the affirmative and negative covenants at June 30, 2013 and there were no events of default.

Certain of our subsidiaries have restrictions on their ability to pay dividends or make intercompany loan advances pursuant to the Credit Facilities. The net assets of Orthofix Holdings and its subsidiaries are restricted for distributions to the parent company. Our domestic subsidiaries, as parties to the Credit Agreement, have access to these net assets for operational purposes. The amount of restricted net assets of Orthofix Holdings and its subsidiaries as of June 30, 2013 and December 31, 2012 was $217.1 million and $171.9 million, respectively. In addition, the Credit Agreement restricts us and our subsidiaries that are not parties to the Credit Facilities from access to cash held by Orthofix Holdings and its subsidiaries. The amount of restricted cash as of June 30, 2013 and December 31, 2012 was $20.6 million and $21.3 million, respectively.

At June 30, 2013, we had no outstanding bank borrowings and unused available line of credit of approximately €5.8 million ($7.5 million) under the line of credit established in Italy to finance the working capital of our Italian operations. The terms of the line of credit give us the option to borrow amounts in Italy at rates determined at the time of borrowing.

On May 8, 2013, the Company announced that the Board of Directors had authorized a share repurchase program in an amount up to $50 million. Repurchases began on May 10, 2013 consisting primarily of open market transactions at prevailing market prices in accordance with the guidelines specified under Rule 10b-18 of the Securities Exchange Act of 1934, as amended. Repurchases are being made from cash on hand, cash generated from operations and additional borrowings. The timing of the transactions and the aggregate number of shares of common stock that will be ultimately repurchased under the repurchase program will depend on a variety of factors, including market conditions and the prices at which the securities are repurchased. The Company may discontinue repurchases without prior notice at any time if the Company determines additional repurchases are not warranted. During the fiscal quarter ended June 30, 2013, the Company made total repurchases in an amount equal to $26.9 million. Between June 30, 2013 and the date of this Form 10-Q, the Company has made additional repurchases in an amount equal to $12.6 million, all of which additional repurchases occurred in the fiscal quarter ended September 30, 2013.

We believe that current cash balances together with projected cash flows from operating activities, the availability of the $180 million revolving credit facility, the available Italian line of credit and our debt capacity are sufficient to cover additional stock repurchases, anticipated working capital and capital expenditure needs including research and development costs over the next twelve months.

Item 3. Quantitative and Qualitative Disclosures About Market Risk

We are exposed to certain market risks as part of our ongoing business operations. Primary exposures include changes in interest rates and foreign currency fluctuations. These exposures can vary sales, cost of sales, costs of operations, cost of financing and yields on cash and short-term investments. We use derivative financial instruments, where appropriate, to manage these risks. However, our risk management policy does not allow us to hedge positions we do not hold nor do we enter into derivative or other financial investments for trading or speculative purposes. As of June 30, 2013, we had a currency swap in place to minimize foreign currency exchange risk related to a €28.7 million ($37.3 million translated at the June 30, 2013 foreign exchange rate) intercompany note. As of June 30, 2013 the fair value of the currency swap was approximately $1 million and is recorded in other long-term assets.

We are exposed to interest rate risk in connection with our Term Loan Facility and Revolving Credit Facility, which bear interest at floating rates based on LIBOR plus an applicable borrowing margin or at a base rate (as defined in the Credit Agreement) plus an applicable borrowing margin. Therefore, interest rate changes generally do not affect the fair market value of the debt, but do impact future earnings and cash flows, assuming other factors are held constant.

As of June 30, 2013, $20 million of the Revolving Credit Facility is at the LIBOR rate plus a margin of 2.50%. The margin is adjusted based upon the measurement of the consolidated leverage ratio of our Company and our subsidiaries with respect to the immediately preceding four fiscal quarters. As of June 30, 2013, our effective interest rate on our Credit Facilities was 2.7%. Based on the balance outstanding under the Credit Facilities as of June 30, 2013, an immediate change of one percentage point in the applicable interest rate on the Revolving Credit Facility would cause a change in interest expense of approximately $0.2 million annually.

        Our foreign currency exposure results from fluctuating currency exchange rates, primarily the U.S. Dollar against the Euro, Great Brita1in Pound, Mexican Peso and Brazilian Real. We are subject to cost of goods currency exposure when we produce products in foreign currencies such as the Euro or Great Britain Pound and sell those products in U.S. Dollars. We are subject to transactional currency exposures when foreign subsidiaries (or the Company itself) enter into transactions denominated in a currency other than their functional currency. As of June 30, 2013, we had an un-hedged intercompany receivable denominated in Euro of approximately €23.2 million ($30.2 million). We recorded a foreign currency loss during the six months ended June 30, 2013 of $0.4 million related to this un-hedged long-term intercompany note in accumulated other comprehensive income during 2013, which resulted from the strengthening of the U.S. dollar against the Euro during the period. For the six months ended June 30, 2013, we recorded a foreign currency loss of $0.4 million on the statement of operations resulting from gains and losses in foreign currency transactions.

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We also are subject to currency exposure from translating the results of our global operations into the U.S. dollar at exchange rates that have fluctuated during the period. As we continue to distribute and manufacture our products in selected foreign countries, we expect that future sales and costs associated with our activities in these markets will continue to be denominated in the applicable foreign currencies, which could cause currency fluctuations to materially impact our operating results.

Item 4. Controls and Procedures

Evaluation of Disclosure Controls and Procedures

Under the supervision and with the participation of our management, including our President and Chief Executive Officer and our Chief Financial Officer, we performed an evaluation of the effectiveness of the design and operation of our disclosure controls and procedures as of the end of the period covered by this Form 10-Q. As described below, management has identified material weaknesses in our internal control over financial reporting, which is an integral component of our disclosure controls and procedures. As a result of those material weaknesses, our President and Chief Executive Officer and Chief Financial Officer have concluded that our disclosure controls and procedures were not effective as of June 30, 2013.

Material Weaknesses in Internal Control over Financial Reporting

In connection with management’s evaluation of the effectiveness of the design and operation of our disclosure controls and procedures as of June 30, 2013, our management, including our President and Chief Executive Officer and our Chief Financial Officer, concluded that, because of the material weaknesses described below, our internal control over financial reporting was not effective as of June 30, 2013.

A “material weakness” is a deficiency, or a combination of deficiencies, in internal control over financial reporting, such that there is a reasonable possibility that a material misstatement of our annual or interim financial statements will not be prevented or detected on a timely basis. In connection with our management’s evaluation of our internal control over financial reporting described above, our management has identified the following deficiencies that it believes constituted individually, and in the aggregate, material weaknesses in our internal control over financial reporting as of June 30, 2013:

• Revenue recognition practices for sales to the Company’s distributors. We have concluded that we recognized revenue in certain instances in advance of all revenue recognition criteria being met, and that our controls were not effective to reasonably ensure accurate recognition of revenue in accordance with GAAP for certain distributor sales transactions previously recorded by the Company’s domestic and international business units. In general, we did not establish and maintain procedures throughout the Company to reasonably ensure proper communication to, and assessment by, the Company’s finance and accounting department of deviations from contractually established terms, which included written or unwritten arrangements made with, or extra-contractual terms provided to, Company distributors at the onset of the sale regarding extended payment terms, product return or exchange rights, and similar concessions agreed to subsequent to the initial sale (which were not memorialized by any formal contractual amendment). Such additional terms were not evaluated, or not evaluated correctly, and were not maintained or reflected in Company customer sales files. In addition, Company personnel were not adequately trained with respect to certain revenue recognition principles applicable under GAAP that may have led to appropriate consideration of the additional terms entered into outside of the written contractual terms.

• Inventory reserves. Errors occurred in establishing the Company’s inventory reserves due to a design deficiency in our controls over the computation and recording of such reserves. Our method of calculating inventory reserves resulted in the misapplication of GAAP, which caused us to make adjustments in the restated consolidated financial statements. Specifically, our controls were not designed to detect that increases in our forecasted demand for products resulted in reductions in subsequent fiscal years to reserves previously recorded. ASC Topic 330 Inventory (specifically ASC 330-10-35-14) states that a write-down of inventory to the lower-of-cost-or-market value at the close of a fiscal year creates a new cost basis that subsequently should not be marked up based on changes in underlying circumstances, and our controls were not designed to prevent such mark ups due to increases in forecasted demand.

• Foreign subsidiary oversight. Oversight of certain foreign subsidiaries was insufficiently designed to detect material misstatement of financial information. Specifically, while these entities were included in oversight activities similar to our other locations, we believe the design of our controls did not adequately address the additional risks associated with certain entities. These additional risks include: sales comprised of higher risk distributor revenues; no specific requirements for statutory audits that may detect inadequacies in the Company’s customer and business records; and a business culture where oral agreements were more common, resulting in contract terms that were less likely to be formally documented.

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Some or all of the material weaknesses described above resulted in material misstatements in our annual and interim consolidated financial statements. Because of the foregoing matters, our management has concluded that we did not maintain effective internal control over financial reporting as of June 30, 2013.

Plans for Remediation

Our management has worked, and continues to work, to strengthen our disclosure controls and procedures and internal control over financial reporting in connection with the material weaknesses that have been described above. We intend to continue taking measures, including engaging outside professionals, as may be necessary and advisable, to assist us as we continue to address and rectify the foregoing material weaknesses.

We are committed to maintaining an effective control environment and making changes necessary to enhance effectiveness. This commitment has been, and will continue to be, communicated to and reinforced throughout our organization. As part of this commitment, we are implementing an internal audit program that will take into account the nature of our business and the geographies in which we conduct it. We are also updating our code of conduct, and all our employees will be required to annually acknowledge their commitment to adhering to its provisions. We also will inform all new employees and regularly remind all existing employees of the availability of our compliance hotline, through which employees at all levels can anonymously submit information or express concerns regarding accounting, financial reporting and other irregularities they may have become aware of or observed.

We are in the process of developing a plan for remediation of the ineffective internal control over financial reporting described above. In addition, we have designed and plan to implement, and in some cases have already implemented, the specific remediation initiatives described below:

Management’s remediation plan with respect to controls over revenue recognition practices relating to the Company’s distributors:

• We have enhanced our revenue recognition training materials for all sales personnel;

• We are in the process of training sales management personnel (including senior-level management) pursuant to our updated revenue recognition training materials;

• We have created and implemented an improved sales certification process to identify any sales with deviations from written sales contracts;

• We have established and hired a new Senior Manager of Revenue position in our finance department, which we believe will bring additional revenue recognition expertise to address our more complex revenue transactions to help ensure that our revenue recognition policies are correctly applied; and

• We are working to improve procedures with respect to the proper communication, approval, documentation and accounting review of deviations from written sales contracts.

Management’s remediation plan with respect to controls over the computation and recording of the Company’s inventory reserves:

• We have enhanced controls over our model for determining inventory reserves to ensure that, once reserves are established in a fiscal period, subsequent write-ups based on demand are not recognized; and

• We are implementing additional review of our inventory reserve analysis, including the involvement of both finance and operational executives, and more analysis of days inventory on hand at the product line level, which we expect to provide better controls to assess excess and obsolete inventory based on the current inventory on hand in relation to the demand forecast and related reserve.

Management’s remediation plan with respect to controls over foreign subsidiary oversight:

• We have changed our structure so that all of our subsidiaries’ accounting functions now report to the VP, Controller within the corporate accounting function, which we believe will provide additional corporate-level oversight of their activities;

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• We have established and hired a Director of Controls and Process Improvement, whose primary duties are the design and implementation of internal controls over financial reporting;

• We have engaged a professional firm to perform testing and evaluation of the Company’s internal controls, and to assist the Company in designing and implementing additional financial reporting controls and financial reporting control enhancements; and

• We are evaluating our accounting systems to determine appropriate enhancements.

We believe the remediation steps outlined above, which in some cases have already been implemented, have improved and will continue to improve the effectiveness of our internal control over financial reporting. However, we have not completed all of the corrective processes and procedures identified above. Accordingly, as we continue to monitor the effectiveness of our internal control over financial reporting in the areas affected by the material weaknesses described above, we will perform additional procedures prescribed by management, including the use of manual mitigating control procedures, and will employ any additional tools and resources deemed necessary to provide assurance that our financial statements continue to be fairly stated in all material respects. As our management continues to evaluate and work to improve our disclosure controls and procedures and internal control over financial reporting, we may determine to take additional measures to address these deficiencies or determine to modify certain of the remediation measures described above.

Changes in Internal Control over Financial Reporting

Other than as described above, there have not been any changes in our internal control over financial reporting during the fiscal quarter ended June 30, 2013 that have materially affected or are reasonably likely to materially affect, our internal control over financial reporting.

PART II. OTHER INFORMATION

Item 1. Legal Proceedings

See Note 16, “Contingencies”, to our unaudited condensed consolidated financial statements contained in Part I, Item 1, “Financial Statements”, of this Quarterly Report on Form 10-Q, which is incorporated herein by reference.

Item 1A. Risk Factors

As of the date of this Form 10-Q, there had been no material changes to our risk factors from the factors discussed in Part I, Item 1A, “Risk Factors” in the 2012 Form 10-K/A.

Item 2. Unregistered Sales of Equity Securities and Use of Proceeds

Stock Repurchases Made in the Quarter

Under our stock repurchase program, repurchases are being made from time to time in the open market based on market conditions, securities law limitations and other factors. The following table includes repurchases made under this program during the second quarter of 2013.

Period	Total Number of Shares Purchased		Average price Paid Per Share		Total Number of Shares Purchased under Approved Stock Repurchase Program		Maximum Dollar Value of Shares Yet to be Purchased under Approved Stock Repurchase Program
May 2013		515,865	$	26.64		515,865	$	36,269,366
June 2013		472,650	$	27.77		988,515	$	23,131,669
Total for period ending June 30, 2013		988,515	$	27.28		988,515	$	23,131,669

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Item 6. Exhibits

10.1	Letter Agreement, dated May 9, 2013, between Orthofix Inc. and Vicente Trelles (filed as an exhibit to the Company’s current report on Form 8-K filed May 14, 2013 and incorporated herein by reference).
10.2	Letter Agreement, entered into on June 18, 2013, between Orthofix Inc. and Brian McCollum (filed as an exhibit to the Company’s current report on Form 8-K filed June 20, 2013 and incorporated herein by reference).
31.1*	Rule 13a-14(a)/15d-14(a) Certification of Chief Executive Officer.
31.2*	Rule 13a-14(a)/15d-14(a) Certification of Chief Financial Officer.
32.1*	Section 1350 Certification of Chief Executive Officer.
32.2*	Section 1350 Certification of Chief Financial Officer.
101*	The following materials from the Orthofix International N.V. Quarterly Report on Form 10-Q for the quarter ended June 30, 2013 formatted in Extensible Business Reporting Language (“XBRL”): (i) Condensed Consolidated Balance Sheets, (ii) Condensed Consolidated Statements of Operations and Comprehensive Income (Loss), (iii) Condensed Consolidated Statements of Cash Flows and (iv) related notes, detail tagged.

* Filed herewith.

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SIGNATURES

Pursuant to the requirements of Section 13 or 15(d) of the Securities Exchange Act of 1934, the Registrant has duly caused this report to be signed on its behalf by the undersigned, thereunto duly authorized.

	ORTHOFIX INTERNATIONAL N.V.
Date: March 24, 2014	By:	/s/ Bradley R. Mason
		Name: Bradley R. Mason
		Title: President and Chief Executive Officer
Date: March 24, 2014	By:	/s/ Emily V. Buxton
		Name: Emily V. Buxton
		Title: Chief Financial Officer

EX-31.1

Exhibit 31.1

CERTIFICATION

I, Bradley R. Mason, certify that:

1. I have reviewed this quarterly report on Form 10-Q of Orthofix International N.V.;

2. Based on my knowledge, this report does not contain any untrue statement of a material fact or omit to state a material fact necessary to make the statements made, in light of the circumstances under which such statements were made, not misleading with respect to the period covered by this report;

3. Based on my knowledge, the financial statements, and other financial information included in this report, fairly present in all material respects the financial condition, results of operations and cash flows of the registrant as of, and for, the periods presented in this report;

4. The registrant’s other certifying officer(s) and I are responsible for establishing and maintaining disclosure controls and procedures (as defined in Exchange Act Rules 13a-15(e) and 15d-15(e)) and internal control over financial reporting (as defined in Exchange Act Rules 13a-15(f) and 15d-15(f)) for the registrant and have:

a. designed such disclosure controls and procedures, or caused such disclosure controls and procedures to be designed under our supervision, to ensure that material information relating to the registrant, including its consolidated subsidiaries, is made known to us by others within those entities, particularly during the period in which this report is being prepared;

b. designed such internal control over financial reporting, or caused such internal control over financial reporting to be designed under our supervision, to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements for external purposes in accordance with generally accepted accounting principles;

c. evaluated the effectiveness of the registrant’s disclosure controls and procedures and presented in this report our conclusions about the effectiveness of the disclosure controls and procedures, as of the end of the period covered by this report based on such evaluation; and

d. disclosed in this report any change in the registrant’s internal control over financial reporting that occurred during the registrant’s most recent fiscal quarter (the registrant’s fourth fiscal quarter in the case of an annual report) that has material affected, or is reasonably likely to materially affect, the registrant’s internal control over financial reporting; and

5. The registrant’s other certifying officer(s) and I have disclosed, based on our most recent evaluation of internal control over financial reporting, to the registrant’s auditors and the audit committee of the registrant’s board of directors (or persons performing the equivalent functions):

a. all significant deficiencies and material weaknesses in the design or operation of internal control over financial reporting which are reasonably likely to adversely affect the registrant’s ability to record, process, summarize and report financial information; and

b. any fraud, whether or not material, that involves management or other employees who have a significant role in the registrant’s internal control over financial reporting.

Dated: March 24, 2014	By:	/s/ Bradley R. Mason
		Name: Bradley R. Mason
		Title: President and Chief Executive Officer

EX-31.2

Exhibit 31.2

CERTIFICATION

I, Emily V. Buxton, certify that:

1. I have reviewed this quarterly report on Form 10-Q of Orthofix International N.V.;

2. Based on my knowledge, this report does not contain any untrue statement of a material fact or omit to state a material fact necessary to make the statements made, in light of the circumstances under which such statements were made, not misleading with respect to the period covered by this report;

3. Based on my knowledge, the financial statements, and other financial information included in this report, fairly present in all material respects the financial condition, results of operations and cash flows of the registrant as of, and for, the periods presented in this report;

4. The registrant’s other certifying officer(s) and I are responsible for establishing and maintaining disclosure controls and procedures (as defined in Exchange Act Rules 13a-15(e) and 15d-15(e)) and internal control over financial reporting (as defined in Exchange Act Rules 13a-15(f) and 15d-15(f)) for the registrant and have:

a. designed such disclosure controls and procedures, or caused such disclosure controls and procedures to be designed under our supervision, to ensure that material information relating to the registrant, including its consolidated subsidiaries, is made known to us by others within those entities, particularly during the period in which this report is being prepared;

b. designed such internal control over financial reporting, or caused such internal control over financial reporting to be designed under our supervision, to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements for external purposes in accordance with generally accepted accounting principles;

c. evaluated the effectiveness of the registrant’s disclosure controls and procedures and presented in this report our conclusions about the effectiveness of the disclosure controls and procedures, as of the end of the period covered by this report based on such evaluation; and

d. disclosed in this report any change in the registrant’s internal control over financial reporting that occurred during the registrant’s most recent fiscal quarter (the registrant’s fourth fiscal quarter in the case of an annual report) that has material affected, or is reasonably likely to materially affect, the registrant’s internal control over financial reporting; and

5. The registrant’s other certifying officer(s) and I have disclosed, based on our most recent evaluation of internal control over financial reporting, to the registrant’s auditors and the audit committee of the registrant’s board of directors (or persons performing the equivalent functions):

a. all significant deficiencies and material weaknesses in the design or operation of internal control over financial reporting which are reasonably likely to adversely affect the registrant’s ability to record, process, summarize and report financial information; and

b. any fraud, whether or not material, that involves management or other employees who have a significant role in the registrant’s internal control over financial reporting.

Dated: March 24, 2014	By:	/s/ Emily V. Buxton
		Name: Emily V. Buxton
		Title: Chief Financial Officer

EX-32.1

Exhibit 32.1

CERTIFICATION PURSUANT TO 18 U.S.C. SECTION 1350,

AS ADOPTED PURSUANT TO SECTION 906

OF THE SARBANES-OXLEY ACT OF 2002

In connection with the Quarterly Report of Orthofix International N.V. (“Orthofix”) on Form 10-Q for the period ended June 30, 2013 (the “Report”), as filed with the Securities and Exchange Commission on the date hereof, I, Bradley R. Mason, Chief Executive Officer and President of Orthofix, certify, pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002, that:

1. The Report fully complies with the requirements of Section 13(a) or 15(d) of the Securities Exchange Act of 1934; and

2. The information contained in the Report fairly presents, in all material respects, the financial condition and results of operations of Orthofix.

Dated: March 24, 2014	/s/ Bradley R. Mason
	Name: Bradley R. Mason
	Title: President and Chief Executive Officer

EX-32.2

Exhibit 32.2

CERTIFICATION PURSUANT TO 18 U.S.C. SECTION 1350,

AS ADOPTED PURSUANT TO SECTION 906

OF THE SARBANES-OXLEY ACT OF 2002

In connection with the Quarterly Report of Orthofix International N.V. (“Orthofix”) on Form 10-Q for the period ended June 30, 2013 (the “Report”), as filed with the Securities and Exchange Commission on the date hereof, I, Emily V. Buxton, Chief Financial Officer of Orthofix certify, pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002, that:

1. The Report fully complies with the requirements of Section 13(a) or 15(d) of the Securities Exchange Act of 1934; and

2. The information contained in the Report fairly presents, in all material respects, the financial condition and results of operations of Orthofix.

Dated: March 24, 2014	/s/ Emily V. Buxton
	Name: Emily V. Buxton
	Title: Chief Financial Officer

XML

Restatement of the Condensed Consolidated Financial Statements - Effects of Restatements on Consolidated Balance Sheet (Parenthetical) (Detail) (USD $) In Thousands, except Share data, unless otherwise specified	Jun. 30, 2013	Dec. 31, 2012
Organization Consolidation And Presentation Of Financial Statements [Abstract]
Trade accounts receivable, allowance for doubtful accounts	$ 10,977	$ 13,543
Common shares, par value	$ 0.10	$ 0.10
Common shares, authorized	50,000,000	50,000,000
Common shares, issued	18,494,258	19,339,329
Common shares, outstanding	18,494,258	19,339,329

XML

Comprehensive income (loss) - Schedule of Comprehensive Income (Loss) (Parenthetical) (Detail) (USD $) In Thousands, unless otherwise specified	3 Months Ended		6 Months Ended
	Jun. 30, 2013	Jun. 30, 2012	Jun. 30, 2013	Jun. 30, 2012
Statement Of Stockholders Equity [Abstract]
Unrealized gain on derivative instrument, taxes	$ 56	$ 56	$ 56	$ 56

XML

Derivative instruments - Additional Information (Detail) In Millions, unless otherwise specified	6 Months Ended
	Jun. 30, 2013 Swap Agreement [Member]	Sep. 30, 2010 Cross-currency swap [Member] Designated as Hedging Instrument [Member] Pay Euros [Member] EUR (€)	Sep. 30, 2010 Cross-currency swap [Member] Designated as Hedging Instrument [Member] Receive U.S. dollars [Member] USD ($)
Derivatives, Fair Value [Line Items]
Notional amount		€ 28.7	$ 39.0
Fixed rate (as a percent)		5.00%	4.635%
Swap agreement expiration date	Dec. 30, 2016

XML

Earnings per share - Additional Information (Detail)	3 Months Ended	6 Months Ended
	Jun. 30, 2013	Jun. 30, 2013 Options to purchase common stock [Member]	Jun. 30, 2012 Options to purchase common stock [Member]
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]
Weighted average number diluted shares outstanding adjustment	129,524
Outstanding options not included in diluted earnings per share		996,478	768,269

XML

Derivative instruments - Schedule of Fair Values of Derivative Instruments (Detail) (Other long-term assets [Member], Cross-currency swap [Member], USD $) In Thousands, unless otherwise specified	Jun. 30, 2013	Dec. 31, 2012
Other long-term assets [Member] | Cross-currency swap [Member]
Derivatives, Fair Value [Line Items]
Fair value: favorable (unfavorable)	$ 1,033	$ 305

XML

Share-based compensation (Tables)

6 Months Ended

Jun. 30, 2013

Disclosure Of Compensation Related Costs Sharebased Payments [Abstract]

Schedule of Share-Based Compensation by Line Item in Condensed Consolidated Statements of Operations

The following table shows the detail of share-based compensation by line item in the condensed consolidated statements of operations:

	Three Months Ended June 30,					Six Months Ended June 30,
(US$ in thousands)	2013			2012		2013			2012
				(Restated)					(Restated)
Cost of sales	$	(563	)	$	106	$	(276	)	$	283
Sales and marketing		470			397		906			842
General and administrative		1,530			772		2,705			1,542
Research and development		57			30		102			71
Total	$	1,494		$	1,305	$	3,437		$	2,738

XML

Share-based compensation - Schedule of Share-Based Compensation by Line Item in Consolidated Statements of Operations (Detail) (USD $) In Thousands, unless otherwise specified	3 Months Ended		6 Months Ended
	Jun. 30, 2013	Jun. 30, 2012	Jun. 30, 2013	Jun. 30, 2012
Employee Service Share-based Compensation, Allocation of Recognized Period Costs [Line Items]
Allocated share based compensation expense	$ 1,494	$ 1,305	$ 3,437	$ 2,738
Cost of sales [Member]
Employee Service Share-based Compensation, Allocation of Recognized Period Costs [Line Items]
Allocated share based compensation expense	(563)	106	(276)	283
Sales and marketing [Member]
Employee Service Share-based Compensation, Allocation of Recognized Period Costs [Line Items]
Allocated share based compensation expense	470	397	906	842
General and administrative [Member]
Employee Service Share-based Compensation, Allocation of Recognized Period Costs [Line Items]
Allocated share based compensation expense	1,530	772	2,705	1,542
Research and development [Member]
Employee Service Share-based Compensation, Allocation of Recognized Period Costs [Line Items]
Allocated share based compensation expense	$ 57	$ 30	$ 102	$ 71

XML

Restatement of the Condensed Consolidated Financial Statements (Tables)

6 Months Ended

Jun. 30, 2013

Text Block [Abstract]

Adjustments to Previously Filed Consolidated Income Statements

The results of the adjustments to the Company’s previously filed consolidated statements of operations detailed above for the three and six months ended June 30, 2012 are summarized in the tables below. The tax effect of the adjustments is estimated based on the Company’s effective tax rate.

	Three Months Ended June 30, 2012
				Adjustments by Category
(U.S. Dollars, in thousands)	Previously Reported			Distributor Revenue			Inventory Reserves			Royalties			Other			Total Adjustments			Restated
Net sales	$	119,492		$	(5,862	)	$	—		$	—		$	(207	)	$	(6,069	)	$	113,423
Cost of sales		23,676			(2,101	)		3,880			2,079			13			3,871			27,547
Gross profit		95,816			(3,761	)		(3,880	)		(2,079	)		(220	)		(9,940	)		85,876
Operating expenses
Sales and marketing		49,810			(527	)		—			(2,079	)		(129	)		(2,735	)		47,075
General and administrative		14,295			—			—			—			—			—			14,295
Research and development		9,252			—			—			—			—			—			9,252
Amortization of intangibles assets		530			—			—			—			50			50			580
Charges related to U.S. Government resolutions		1,364			—			—			—			(988	)		(988	)		376
		75,251			(527	)		—			(2,079	)		(1,067	)		(3,673	)		71,578
Operating income		20,565			(3,234	)		(3,880	)		—			847			(6,267	)		14,298
Other income and (expense)		(605	)		—			—			—			—			—			(605	)
Income before income taxes		19,960			(3,234	)		(3,880	)		—			847			(6,267	)		13,693
Income tax expense		(5,993	)		1,120			1,343			—			(293	)		2,170			(3,823	)
Net income from continuing operations, net of tax	$	13,967		$	(2,114	)	$	(2,537	)	$	—		$	554		$	(4,097	)	$	9,870

	Six Months Ended June 30, 2012
				Adjustments by Category
(U.S. Dollars, in thousands)	Previously Reported			Distributor Revenue			Inventory Reserves			Royalties			Other			Total Adjustments			Restated
Net sales	$	235,534		$	(13,256	)	$	—		$	—		$	81		$	(13,175	)	$	222,359
Cost of sales		45,616			(3,572	)		2,668			4,205			8			3,309			48,925
Gross profit		189,918			(9,684	)		(2,668	)		(4,205	)		73			(16,484	)		173,434
Operating expenses
Sales and marketing		99,331			(944	)		—			(4,205	)		21			(5,128	)		94,203
General and administrative		28,865			—			—			—			—			—			28,865
Research and development		16,302			—			—			—			—			—			16,302
Amortization of intangibles assets		1,060			—			—			—			100			100			1,160
Charges related to U.S. Government resolutions		1,364			—			—			—			(678	)		(678	)		686
		146,922			(944	)		—			(4,205	)		(557	)		(5,706	)		141,216
Operating income		42,996			(8,740	)		(2,668	)		—			630			(10,778	)		32,218
Other income and (expense)		(3,457	)		—			—			—			—			—			(3,457	)
Income before income taxes		39,539			(8,740	)		(2,668	)		—			630			(10,778	)		28,761
Income tax expense		(13,356	)		2,209			1,103			—			(250	)		3,062			(10,294	)
Net income from continuing operations, net of tax	$	26,183		$	(6,531	)	$	(1,565	)	$	—		$	380		$	(7,716	)	$	18,467

Effects of Restatements on Consolidated Balance Sheet

The effects of the restatement on the Company’s condensed consolidated balance sheet as of December 31, 2012 are as follows:

	As of December 31, 2012
(Unaudited, U.S. Dollars, in thousands, except share data)	Previously Reported		Adjustments			Restated
Assets
Current assets:
Cash and cash equivalents	$	31,055	$	—		$	31,055
Restricted cash		21,314		—			21,314
Trade accounts receivable, less allowances of $13,543		150,316		(43,004	)		107,312
Inventories		88,744		(5,371	)		83,373
Deferred income taxes		16,959		16,491			33,450
Prepaid expenses and other current assets		32,056		2,023			34,079
Total current assets		340,444		(29,861	)		310,583
Property, plant and equipment, net		51,362		2,473			53,835
Patents and other intangible assets, net		6,880		410			7,290
Goodwill		74,388		—			74,388
Deferred income taxes		19,904		(1,023	)		18,881
Other long-term assets		11,303		(3,383	)		7,920
Total assets	$	504,281	$	(31,384	)	$	472,897
Liabilities and shareholders’ equity
Current liabilities:
Trade accounts payable	$	21,812	$	763		$	22,575
Other current liabilities		46,985		(7,375	)		39,610
Total current liabilities		68,797		(6,612	)		62,185
Long-term debt		20,000		—			20,000
Deferred income taxes		11,456		—			11,456
Other long-term liabilities		4,930		6,494			11,424
Total liabilities		105,183		(118	)		105,065
Contingencies (Note 16)
Shareholders’ equity:
Common shares $0.10 par value; 50,000,000 shares authorized; 19,339,329 issued and outstanding		1,934		—			1,934
Additional paid-in capital		246,111		195			246,306
Retained earnings		148,549		(33,702	)		114,847
Accumulated other comprehensive income		2,504		2,241			4,745
Total shareholders’ equity		399,098		(31,266	)		367,832
Total liabilities and shareholders’ equity	$	504,281	$	(31,384	)	$	472,897

Effects of Restatements on Condensed Consolidated Statements of Operations and Comprehensive Income (Loss)

The effects of the restatements on the Company’s condensed consolidated statement of operations and comprehensive income for the three months ended June 30, 2012 are as follows:

	Three Months Ended June 30, 2012
(Unaudited, U.S. Dollars, in thousands, except share and per share  data)	Previously Reported			Adjustments			Restated
Product sales	$	107,906		$	(6,004	)	$	101,902
Marketing service fees		11,586			(65	)		11,521
Net sales		119,492			(6,069	)		113,423
Cost of sales		23,676			3,871			27,547
Gross profit		95,816			(9,940	)		85,876
Operating expenses
Sales and marketing		49,810			(2,735	)		47,075
General and administrative		14,295			—			14,295
Research and development		9,252			—			9,252
Amortization of intangible assets		530			50			580
Charges Related to US Government Resolutions		1,364			(988	)		376
		75,251			(3,673	)		71,578
Operating income		20,565			(6,267	)		14,298
Other income and expense
Interest expense, net		(1,265	)		—			(1,265	)
Other income		660			—			660
		(605	)		—			(605	)
Income before income taxes		19,960			(6,267	)		13,693
Income tax expense		(5,993	)		2,170			(3,823	)
Net income from continuing operations, net of tax		13,967			(4,097	)		9,870
Discontinued operations (Note 16)
Gain on sale of Breg, Inc. (net of tax)		1,040			—			1,040
Loss from discontinued operations		(5,846	)		(7	)		(5,853	)
Income tax benefit		2,044			153			2,197
Net loss from discontinued operations, net of tax		(2,762	)		146			(2,616	)
Net income	$	11,205		$	(3,951	)	$	7,254
Net income (loss) per common share- basic:
Net income from continuing operations, net of tax	$	0.74		$	(0.22	)	$	0.52
Net loss from discontinued operations, net of tax		(0.15	)		0.01			(0.14	)
Net income per common share- basic	$	0.59		$	(0.21	)	$	0.38
Net income (loss) per common share- diluted:
Net income from continuing operations, net of tax	$	0.73		$	(0.22	)	$	0.51
Net loss from discontinued operations, net of tax		(0.15	)		0.01			(0.14	)
Net income per common share- diluted	$	0.58		$	(0.21	)	$	0.37
Weighted average number of common shares:
Basic		18,827,452			—			18,827,452
Diluted		19,215,984			—			19,215,984
Comprehensive income	$	6,822		$	(3,112	)	$	3,710

The effects of the restatements on the Company’s condensed consolidated statement of operations and comprehensive income for the six months ended June 30, 2012 are as follows:

	Six Months Ended June 30, 2012
(Unaudited, U.S. Dollars, in thousands, except share and per share  data)	Previously Reported			Adjustments			Restated
Product sales	$	212,726		$	(13,216	)	$	199,510
Marketing service fees		22,808			41			22,849
Net sales		235,534			(13,175	)		222,359
Cost of sales		45,616			3,309			48,925
Gross profit		189,918			(16,484	)		173,434
Operating expenses
Sales and marketing		99,331			(5,128	)		94,203
General and administrative		28,865			—			28,865
Research and development		16,302			—			16,302
Amortization of intangible assets		1,060			100			1,160
Charges Related to US Government Resolutions		1,364			(678	)		686
		146,922			(5,706	)		141,216
Operating income		42,996			(10,778	)		32,218
Other income and expense
Interest expense, net		(3,486	)		—			(3,486	)
Other income		29			—			29
		(3,457	)		—			(3,457	)
Income before income taxes		39,539			(10,778	)		28,761
Income tax expense		(13,356	)		3,062			(10,294	)
Net income from continuing operations, net of tax		26,183			(7,716	)		18,467
Discontinued operations (Note 16)
Gain on sale of Breg, Inc. (net of tax)		1,040			—			1,040
Loss from discontinued operations		(6,352	)		1,026			(5,326	)
Income tax benefit		2,350			130			2,480
Net loss from discontinued operations, net of tax		(2,962	)		1,156			(1,806	)
Net income	$	23,221		$	(6,560	)	$	16,661
Net income (loss) per common share- basic:
Net income from continuing operations, net of tax	$	1.40		$	(0.42	)	$	0.98
Net loss from discontinued operations, net of tax		(0.16	)		0.06			(0.10	)
Net income per common share- basic	$	1.24		$	(0.36	)	$	0.88
Net income (loss) per common share- diluted:
Net income from continuing operations, net of tax	$	1.37		$	(0.41	)	$	0.96
Net loss from discontinued operations, net of tax		(0.16	)		0.07			(0.09	)
Net income per common share- diluted	$	1.21		$	(0.34	)	$	0.87
Weighted average number of common shares:
Basic		18,751,573			—			18,751,573
Diluted		19,168,940			—			19,168,940
Comprehensive income	$	21,548		$	(6,030	)	$	15,518

XML

Fair value measurements - Schedule of Financial Assets and Liabilities Recorded at Fair Value on Recurring Basis (Detail) (Fair Value, Measurements, Recurring [Member], USD $) In Thousands, unless otherwise specified	Jun. 30, 2013	Dec. 31, 2012
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Cross currency swap	$ 1,033	$ 305
Fair Value, Inputs, Level 1 [Member]
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Cross currency swap
Fair Value, Inputs, Level 2 [Member]
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Cross currency swap	1,033	305
Fair Value, Inputs, Level 3 [Member]
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Cross currency swap

XML

Patents and other intangible assets - Schedule of Patents and Other Intangible Assets (Detail) (USD $) In Thousands, unless otherwise specified	Jun. 30, 2013	Dec. 31, 2012
Finite And Indefinite Lived Intangible Assets [Line Items]
Cost	$ 40,916	$ 39,562
Accumulated amortization	(34,059)	(32,272)
Patents and other intangible assets, net	6,857	7,290
Patents [Member]
Finite And Indefinite Lived Intangible Assets [Line Items]
Cost	40,289	38,905
Accumulated amortization	(33,620)	(31,845)
Trademarks - definite lived [Member]
Finite And Indefinite Lived Intangible Assets [Line Items]
Cost	627	657
Accumulated amortization	$ (439)	$ (427)

XML

Restatement of the Condensed Consolidated Financial Statements - Adjustments to Previously Filed Consolidated Income Statements (Detail) (USD $) In Thousands, unless otherwise specified	3 Months Ended		6 Months Ended
	Jun. 30, 2013	Jun. 30, 2012	Jun. 30, 2013	Jun. 30, 2012
Net sales	$ 98,280	$ 113,423	$ 201,653	$ 222,359
Cost of sales	20,246	27,547	45,863	48,925
Gross profit	78,034	85,876	155,790	173,434
Operating expenses
Sales and marketing	44,910	47,075	89,964	94,203
General and administrative	15,204	14,295	33,534	28,865
Research and development	8,551	9,252	14,292	16,302
Amortization of intangibles assets	565	580	1,109	1,160
Charges related to U.S. Government resolutions		376		686
Total operating expenses	69,230	71,578	138,899	141,216
Operating income	8,804	14,298	16,891	32,218
Other income and (expense)	(1,677)	(605)	2,527	(3,457)
Income before income taxes	7,127	13,693	19,418	28,761
Income tax expense	(2,997)	(3,823)	(7,678)	(10,294)
Net income from continuing operations, net of tax	4,130	9,870	11,740	18,467
Previously Reported [Member]
Net sales		119,492		235,534
Cost of sales		23,676		45,616
Gross profit		95,816		189,918
Operating expenses
Sales and marketing		49,810		99,331
General and administrative		14,295		28,865
Research and development		9,252		16,302
Amortization of intangibles assets		530		1,060
Charges related to U.S. Government resolutions		1,364		1,364
Total operating expenses		75,251		146,922
Operating income		20,565		42,996
Other income and (expense)		(605)		(3,457)
Income before income taxes		19,960		39,539
Income tax expense		(5,993)		(13,356)
Net income from continuing operations, net of tax		13,967		26,183
Total Adjustments [Member]
Net sales		(6,069)		(13,175)
Cost of sales		3,871		3,309
Gross profit		(9,940)		(16,484)
Operating expenses
Sales and marketing		(2,735)		(5,128)
Amortization of intangibles assets		50		100
Charges related to U.S. Government resolutions		(988)		(678)
Total operating expenses		(3,673)		(5,706)
Operating income		(6,267)		(10,778)
Income before income taxes		(6,267)		(10,778)
Income tax expense		2,170		3,062
Net income from continuing operations, net of tax		(4,097)		(7,716)
Distributor Revenue [Member]
Net sales		(5,862)		(13,256)
Cost of sales		(2,101)		(3,572)
Gross profit		(3,761)		(9,684)
Operating expenses
Sales and marketing		(527)		(944)
Total operating expenses		(527)		(944)
Operating income		(3,234)		(8,740)
Income before income taxes		(3,234)		(8,740)
Income tax expense		1,120		2,209
Net income from continuing operations, net of tax		(2,114)		(6,531)
Inventory Reserves [Member]
Cost of sales		3,880		2,668
Gross profit		(3,880)		(2,668)
Operating expenses
Operating income		(3,880)		(2,668)
Income before income taxes		(3,880)		(2,668)
Income tax expense		1,343		1,103
Net income from continuing operations, net of tax		(2,537)		(1,565)
Royalties [Member]
Cost of sales		2,079		4,205
Gross profit		(2,079)		(4,205)
Operating expenses
Sales and marketing		(2,079)		(4,205)
Total operating expenses		(2,079)		(4,205)
Other [Member]
Net sales		(207)		81
Cost of sales		13		8
Gross profit		(220)		73
Operating expenses
Sales and marketing		(129)		21
Amortization of intangibles assets		50		100
Charges related to U.S. Government resolutions		(988)		(678)
Total operating expenses		(1,067)		(557)
Operating income		847		630
Income before income taxes		847		630
Income tax expense		(293)		(250)
Net income from continuing operations, net of tax		$ 554		$ 380

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Comprehensive income (loss) - Schedule of Components of Changes in Accumulated Other Comprehensive Income (Parenthetical) (Detail) (USD $) In Thousands, unless otherwise specified	3 Months Ended		6 Months Ended
	Jun. 30, 2013	Jun. 30, 2012	Jun. 30, 2013	Jun. 30, 2012
Accumulated Other Comprehensive Income Loss [Line Items]
Unrealized gain on derivative instrument, taxes	$ 56	$ 56	$ 56	$ 56
Deferred taxes recognized on related foreign currency translation adjustment.			0
Foreign Currency Translation Adjustments [Member]
Accumulated Other Comprehensive Income Loss [Line Items]
Unrealized gain on derivative instrument, taxes			56
Fair Value of Cross- Currency Swaps [Member]
Accumulated Other Comprehensive Income Loss [Line Items]
Unrealized gain on derivative instrument, taxes			56
Accumulated Other Comprehensive Income (Loss) [Member]
Accumulated Other Comprehensive Income Loss [Line Items]
Unrealized gain on derivative instrument, taxes			$ 56

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Business segment information - Schedule of External Net Sales by GBU Reporting Segment (Detail) (USD $) In Thousands, unless otherwise specified	3 Months Ended		6 Months Ended
	Jun. 30, 2013	Jun. 30, 2012	Jun. 30, 2013	Jun. 30, 2012
Segment Reporting Information [Line Items]
Reported Growth (as a percent)	(13.00%)		(9.00%)
Constant Currency Growth (as a percent)	(12.00%)		(10.00%)
Total Net Sales	$ 98,280	$ 113,423	$ 201,653	$ 222,359
Spine Repair Implants and Regenerative Biologics [Member]
Segment Reporting Information [Line Items]
Reported Growth (as a percent)	(3.00%)		1.00%
Constant Currency Growth (as a percent)	(10.00%)		1.00%
Total Net Sales	33,953	35,135	70,233	69,528
Spine Regenerative Stimulation [Member]
Segment Reporting Information [Line Items]
Reported Growth (as a percent)	(18.00%)		(16.00%)
Constant Currency Growth (as a percent)	(21.00%)		(16.00%)
Total Net Sales	34,088	41,759	67,832	80,549
Spine [Member]
Segment Reporting Information [Line Items]
Reported Growth (as a percent)	(12.00%)		(8.00%)
Constant Currency Growth (as a percent)	(16.00%)		(8.00%)
Total Net Sales	68,041	76,894	138,065	150,077
Orthopedics [Member]
Segment Reporting Information [Line Items]
Reported Growth (as a percent)	(17.00%)		(12.00%)
Constant Currency Growth (as a percent)	(5.00%)		(11.00%)
Total Net Sales	$ 30,239	$ 36,529	$ 63,588	$ 72,282

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Derivative instruments - Schedule of Gain (Loss) Recognized on Derivative Instruments (Detail) (USD $) In Thousands, unless otherwise specified	3 Months Ended		6 Months Ended
	Jun. 30, 2013	Jun. 30, 2012	Jun. 30, 2013	Jun. 30, 2012
Derivative Instruments [Line Items]
Cross-currency swap unrealized gain (loss) recorded in other comprehensive income (loss), net of taxes	$ 222	$ (585)	$ (96)	$ (76)
Cross-currency swap [Member]
Derivative Instruments [Line Items]
Cross-currency swap unrealized gain (loss) recorded in other comprehensive income (loss), net of taxes	$ 222	$ (585)	$ (96)	$ (76)

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Patents and other intangible assets

6 Months Ended

Jun. 30, 2013

Goodwill And Intangible Assets Disclosure [Abstract]

Patents and other intangible assets

4. Patents and other intangible assets

(US$ in thousands)	June 30, 2013			December 31, 2012
				(Restated)
Cost
Patents	$	40,289		$	38,905
Trademarks — definite lived		627			657
		40,916			39,562
Accumulated amortization
Patents		(33,620	)		(31,845	)
Trademarks — definite lived		(439	)		(427	)
		(34,059	)		(32,272	)
Patents and other intangible assets, net	$	6,857		$	7,290

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Business segment information - Operating Income (Loss) by GBU (Detail) (USD $) In Thousands, unless otherwise specified	3 Months Ended		6 Months Ended
	Jun. 30, 2013	Jun. 30, 2012	Jun. 30, 2013	Jun. 30, 2012
Product Type Reporting Information [Line Items]
Operating Income (Loss) by GBU	$ 8,804	$ 14,298	$ 16,891	$ 32,218
Spine [Member]
Product Type Reporting Information [Line Items]
Operating Income (Loss) by GBU	15,440	16,278	30,121	38,297
Orthopedics [Member]
Product Type Reporting Information [Line Items]
Operating Income (Loss) by GBU	(1,110)	2,521	930	2,592
Corporate [Member]
Product Type Reporting Information [Line Items]
Operating Income (Loss) by GBU	$ (5,526)	$ (4,501)	$ (14,160)	$ (8,671)

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Goodwill - Schedule of Changes in Net Carrying Amount of Goodwill (Detail) (USD $) In Thousands, unless otherwise specified	6 Months Ended
	Jun. 30, 2013
Goodwill And Intangible Assets Disclosure [Abstract]
Beginning balance	$ 74,388
Foreign currency	(1,630)
Ending balance	$ 72,758

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Derivative instruments (Tables)

6 Months Ended

Jun. 30, 2013

Derivative Instruments And Hedging Activities Disclosure [Abstract]

Schedule of Fair Values of Derivative Instruments

The tables below disclose the types of derivative instruments the Company owns, the classifications and fair values of these instruments within the balance sheet, and the amount of gain (loss) recognized in other comprehensive income (loss) (“OCI”) or net income (loss).

(US$ in thousands) As of June 30, 2013	Fair value: favorable (unfavorable)		Balance sheet location
Cross-currency swap	$	1,033		Other long-term assets
As of December 31, 2012
Cross-currency swap	$	305		Other long-term assets

Schedule of Gain (Loss) Recognized on Derivative Instruments

	Three Months Ended June 30,					Six Months Ended June 30,
(US$ in thousands)	2013		2012			2013			2012
Cross-currency swap unrealized gain (loss) recorded in other comprehensive income (loss), net of taxes	$	222	$	(585	)	$	(96	)	$	(76	)

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Goodwill (Tables)

6 Months Ended

Jun. 30, 2013

Goodwill And Intangible Assets Disclosure [Abstract]

Schedule of Changes in Net Carrying Amount of Goodwill

The following table presents the changes in the net carrying value of goodwill:

(US$ in thousands)	Total
At December 31, 2012	$	74,388
Foreign currency		(1,630	)
At June 30, 2013	$	72,758

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Earnings per share - Schedule of Reconciliation of Weighted Average Shares Used in Calculation of Basic and Diluted Earnings Per Share (Detail)	3 Months Ended		6 Months Ended
	Jun. 30, 2013	Jun. 30, 2012	Jun. 30, 2013	Jun. 30, 2012
Earnings Per Share [Abstract]
Weighted average common shares-basic	19,140,520	18,827,452	19,285,004	18,751,573
Effect of dilutive securities:
Unexercised stock options net of treasury share repurchase	129,524	388,532	198,711	417,367
Weighted average common shares-diluted	19,270,044	19,215,984	19,483,715	19,168,940

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Bank borrowings - Additional Information (Detail) In Millions, unless otherwise specified	Jun. 30, 2013 USD ($)	Jun. 30, 2013 EUR (€)	Dec. 31, 2012 USD ($)	Dec. 31, 2012 EUR (€)
Debt Disclosure [Abstract]
Amount outstanding under lines of credit	$ 0		$ 0.1
Weighted average interest rate on borrowings under lines of credit			3.70%	3.70%
Maximum borrowing capacity	$ 7.5	€ 5.8	$ 7.6	€ 5.8

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Fair value measurements (Tables)

6 Months Ended

Jun. 30, 2013

Fair Value Disclosures [Abstract]

Schedule of Financial Assets and Liabilities Recorded at Fair Value on Recurring Basis

The fair value of the Company’s financial assets and liabilities on a recurring basis were as follows:

(US$ in thousands)	Balance June 30, 2013		Level 1		Level 2		Level 3
Derivative financial instruments (1)
Cash flow hedges
Cross-currency swap	$	1,033	$	—	$	1,033	$	—

(1) See Note 8, “Derivative Instruments”

(US$ in thousands)	Balance December 31, 2012		Level 1		Level 2		Level 3
Derivative financial instruments(1)
Cash flow hedges
Cross-currency swap	$	305	$	—	$	305	$	—

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Comprehensive income (loss) (Tables)

6 Months Ended

Jun. 30, 2013

Equity [Abstract]

Schedule of Components of Changes in Accumulated Other Comprehensive Income

The components of and changes in accumulated other comprehensive income were as follows:

(US$ in thousands)	Foreign Currency Translation Adjustments			Fair Value  of Cross-Currency Swap			Accumulated Other Comprehensive Income
Balance at December 31, 2012 (Restated)	$	4,614		$	131		$	4,745
Unrealized gain on cross-currency swap, net of tax of $56		—			(96	)		(96	)
Foreign currency translation adjustment (1)		(3,449	)		—			(3,449	)
Balance at June 30, 2013	$	1,165		$	35		$	1,200

(1) As the cash generally remains permanently invested in the non-U.S. dollar denominated foreign subsidiaries, no deferred taxes are recognized on the related foreign currency translation adjustment.

Schedule of Comprehensive Income (Loss)

Comprehensive income (loss) was comprised of the following components:

	Three Months Ended June 30,						Six Months Ended June 30,
(US$ in thousands)	2013			2012			2013			2012
				(Restated)						(Restated)
Net income (loss)	$	(2,317	)	$	7,254		$	2,183		$	16,661
Other comprehensive income (loss):
Unrealized gain (loss) on cross-currency swap, net of tax $56		222			(585	)		(96	)		(76	)
Foreign currency translation adjustment		(741	)		(2,827	)		(3,449	)		(956	)
Total comprehensive income (loss)	$	(2,836	)	$	3,842		$	(1,362	)	$	15,629

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Inventories

6 Months Ended

Jun. 30, 2013

Inventory Disclosure [Abstract]

Inventories

3. Inventories

Inventories are valued at the lower of cost or market, after provision for excess, obsolete or impaired items which is reviewed and updated on a periodic basis by management. For inventory procured or produced, whether internally or through contract manufacturing arrangements, at our manufacturing facility in Italy, cost is determined on a weighted-average basis, which approximates the first in, first out method (“FIFO”), due to the high turn-over rate of inventory at this location. For inventory procured or produced, whether internally or through contract manufacturing arrangements, at our manufacturing facility in Texas, standard costs, which approximates actual cost on a FIFO basis, is used to value inventory. Standard costs are reviewed annually by management, or more often in the event circumstances indicate a change in cost has occurred. The valuation of work-in-process, finished products, field inventory and consignment inventory includes the cost of materials, labor and production costs. Field inventory represents immediately saleable finished products inventory that is in the possession of the Company’s direct sales representatives. Consignment inventory represents immediately saleable finished products located at third party customers, such as distributors and hospitals. Deferred cost of goods sold result from transactions where the Company has shipped product or performed services for which all revenue recognition criteria have not yet been met. Once all revenue recognition criteria have been met, the deferred revenues and associated cost of goods sold are recognized.

Inventories, net of reserves, were as follows:

(US$ in thousands)	June 30, 2013		December 31, 2012
			(Restated)
Raw materials	$	8,639	$	7,623
Work-in-process		8,112		7,886
Finished products		38,342		28,308
Field inventory		24,815		22,629
Consignment inventory		5,955		6,155
Deferred cost of goods sold		9,078		10,772
Total Inventory	$	94,941	$	83,373

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Earnings per share (Tables)

6 Months Ended

Jun. 30, 2013

Earnings Per Share [Abstract]

Schedule of Reconciliation of Weighted Average Shares Used in Calculation of Basic and Diluted Earnings Per Share

The following is a reconciliation of the weighted average shares used in the basic and diluted net income (loss) per common share computations.

	Three Months Ended June 30,				Six Months Ended June 30,
	2013		2012		2013		2012
			(Restated)				(Restated)
Weighted average common shares-basic		19,140,520		18,827,452		19,285,004		18,751,573
Effect of dilutive securities:
Unexercised stock options net of treasury share repurchase		129,524		388,532		198,711		417,367
Weighted average common shares-diluted		19,270,044		19,215,984		19,483,715		19,168,940

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Restatement of the Condensed Consolidated Financial Statements - Effects of Restatements on Consolidated Income Statement (Detail) (USD $) In Thousands, except Share data, unless otherwise specified	3 Months Ended		6 Months Ended
	Jun. 30, 2013	Jun. 30, 2012	Jun. 30, 2013	Jun. 30, 2012
Product sales	$ 86,633	$ 101,902	$ 177,969	$ 199,510
Marketing service fees	11,647	11,521	23,684	22,849
Net sales	98,280	113,423	201,653	222,359
Cost of sales	20,246	27,547	45,863	48,925
Gross profit	78,034	85,876	155,790	173,434
Operating expenses
Sales and marketing	44,910	47,075	89,964	94,203
General and administrative	15,204	14,295	33,534	28,865
Research and development	8,551	9,252	14,292	16,302
Amortization of intangible assets	565	580	1,109	1,160
Charges Related to US Government Resolutions		376		686
Total operating expenses	69,230	71,578	138,899	141,216
Operating income	8,804	14,298	16,891	32,218
Other income and expense
Interest expense, net	(470)	(1,265)	(1,030)	(3,486)
Other income	(1,207)	660	3,557	29
Total other income and expense	(1,677)	(605)	2,527	(3,457)
Income before income taxes	7,127	13,693	19,418	28,761
Income tax expense	(2,997)	(3,823)	(7,678)	(10,294)
Net income from continuing operations, net of tax	4,130	9,870	11,740	18,467
Discontinued operations (Note 16)
Gain on sale of Breg, Inc. (net of tax)		1,040		1,040
Loss from discontinued operations		(5,853)		(5,326)
Income tax benefit	2,707	2,197	4,031	2,480
Net loss from discontinued operations, net of tax	(6,447)	(2,616)	(9,557)	(1,806)
Net income	(2,317)	7,254	2,183	16,661
Net income (loss) per common share- basic:
Net income from continuing operations, net of tax	$ 0.22	$ 0.52	$ 0.61	$ 0.98
Net loss from discontinued operations, net of tax	$ (0.34)	$ (0.14)	$ (0.50)	$ (0.10)
Net income per common share- basic	$ (0.12)	$ 0.38	$ 0.11	$ 0.88
Net income (loss) per common share- diluted:
Net income from continuing operations, net of tax	$ 0.21	$ 0.51	$ 0.60	$ 0.96
Net loss from discontinued operations, net of tax	$ (0.33)	$ (0.14)	$ (0.49)	$ (0.09)
Net income per common share- diluted	$ (0.12)	$ 0.37	$ 0.11	$ 0.87
Weighted average number of common shares:
Basic	19,140,520	18,827,452	19,285,004	18,751,573
Diluted	19,270,044	19,215,984	19,483,715	19,168,940
Comprehensive income	(2,836)	3,842	(1,362)	15,629
Previously Reported [Member]
Product sales		107,906		212,726
Marketing service fees		11,586		22,808
Net sales		119,492		235,534
Cost of sales		23,676		45,616
Gross profit		95,816		189,918
Operating expenses
Sales and marketing		49,810		99,331
General and administrative		14,295		28,865
Research and development		9,252		16,302
Amortization of intangible assets		530		1,060
Charges Related to US Government Resolutions		1,364		1,364
Total operating expenses		75,251		146,922
Operating income		20,565		42,996
Other income and expense
Interest expense, net		(1,265)		(3,486)
Other income		660		29
Total other income and expense		(605)		(3,457)
Income before income taxes		19,960		39,539
Income tax expense		(5,993)		(13,356)
Net income from continuing operations, net of tax		13,967		26,183
Discontinued operations (Note 16)
Gain on sale of Breg, Inc. (net of tax)		1,040		1,040
Loss from discontinued operations		(5,846)		(6,352)
Income tax benefit		2,044		2,350
Net loss from discontinued operations, net of tax		(2,762)		(2,962)
Net income		11,205		23,221
Net income (loss) per common share- basic:
Net income from continuing operations, net of tax		$ 0.74		$ 1.40
Net loss from discontinued operations, net of tax		$ (0.15)		$ (0.16)
Net income per common share- basic		$ 0.59		$ 1.24
Net income (loss) per common share- diluted:
Net income from continuing operations, net of tax		$ 0.73		$ 1.37
Net loss from discontinued operations, net of tax		$ (0.15)		$ (0.16)
Net income per common share- diluted		$ 0.58		$ 1.21
Weighted average number of common shares:
Basic		18,827,452		18,751,573
Diluted		19,215,984		19,168,940
Comprehensive income		6,822		21,548
Adjustments [Member]
Product sales		(6,004)		(13,216)
Marketing service fees		(65)		41
Net sales		(6,069)		(13,175)
Cost of sales		3,871		3,309
Gross profit		(9,940)		(16,484)
Operating expenses
Sales and marketing		(2,735)		(5,128)
Amortization of intangible assets		50		100
Charges Related to US Government Resolutions		(988)		(678)
Total operating expenses		(3,673)		(5,706)
Operating income		(6,267)		(10,778)
Other income and expense
Income before income taxes		(6,267)		(10,778)
Income tax expense		2,170		3,062
Net income from continuing operations, net of tax		(4,097)		(7,716)
Discontinued operations (Note 16)
Loss from discontinued operations		(7)		1,026
Income tax benefit		153		130
Net loss from discontinued operations, net of tax		146		1,156
Net income		(3,951)		(6,560)
Net income (loss) per common share- basic:
Net income from continuing operations, net of tax		$ (0.22)		$ (0.42)
Net loss from discontinued operations, net of tax		$ 0.01		$ 0.06
Net income per common share- basic		$ (0.21)		$ (0.36)
Net income (loss) per common share- diluted:
Net income from continuing operations, net of tax		$ (0.22)		$ (0.41)
Net loss from discontinued operations, net of tax		$ 0.01		$ 0.07
Net income per common share- diluted		$ (0.21)		$ (0.34)
Weighted average number of common shares:
Comprehensive income		$ (3,112)		$ (6,030)

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Comprehensive income (loss) - Schedule of Comprehensive Income (Loss) (Detail) (USD $) In Thousands, unless otherwise specified	3 Months Ended		6 Months Ended
	Jun. 30, 2013	Jun. 30, 2012	Jun. 30, 2013	Jun. 30, 2012
Statement Of Stockholders Equity [Abstract]
Net income (loss)	$ (2,317)	$ 7,254	$ 2,183	$ 16,661
Other comprehensive income (loss):
Unrealized gain (loss) on cross-currency swap, net of tax $56	222	(585)	(96)	(76)
Foreign currency translation adjustment	(741)	(2,827)	(3,449)	(956)
Total comprehensive income (loss)	$ (2,836)	$ 3,842	$ (1,362)	$ 15,629

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Consolidated Balance Sheets (USD $) In Thousands, unless otherwise specified	Jun. 30, 2013	Dec. 31, 2012	Jun. 30, 2012	Dec. 31, 2011
Current assets:
Cash and cash equivalents	$ 27,370	$ 31,055	$ 50,089	$ 33,207
Restricted cash	20,601	21,314
Trade accounts receivable, less allowance for doubtful accounts of $10,977 and $13,543 at June 30, 2013 and December 31, 2012, respectively	90,828	107,312
Inventories	94,941	83,373
Deferred income taxes	33,664	33,450
Prepaid expenses and other current assets	28,993	34,079
Total current assets	296,397	310,583
Property, plant and equipment, net	55,166	53,835
Patents and other intangible assets, net	6,857	7,290
Goodwill	72,758	74,388
Deferred income taxes	19,205	18,881
Other long-term assets	9,067	7,920
Total assets	459,450	472,897
Current liabilities:
Trade accounts payable	18,894	22,575
Other current liabilities	52,679	39,610
Total current liabilities	71,573	62,185
Long-term debt	20,000	20,000
Deferred income taxes	12,326	11,456
Other long-term liabilities	10,324	11,424
Total liabilities	114,223	105,065
Contingencies (Note 16)
Shareholders' equity:
Common shares $0.10 par value; 50,000,000 shares authorized; 18,494,258 and 19,339,329 issued and outstanding as of June 30, 2013 and December 31, 2012, respectively	1,849	1,934
Additional paid-in capital	225,148	246,306
Retained earnings	117,030	114,847
Accumulated other comprehensive income	1,200	4,745
Total shareholders' equity	345,227	367,832
Total liabilities and shareholders' equity	$ 459,450	$ 472,897

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Long-term debt - Additional Information (Detail)	6 Months Ended					1 Months Ended				6 Months Ended					1 Months Ended		6 Months Ended		6 Months Ended
	Jun. 30, 2012 USD ($)	Jun. 30, 2013 USD ($)	Jun. 30, 2013 EUR (€)	Dec. 31, 2012 USD ($)	Dec. 31, 2012 EUR (€)	Sep. 30, 2012 Revolving Credit Facility [Member] USD ($)	Jun. 30, 2012 Revolving Credit Facility [Member] USD ($)	May 31, 2012 Revolving Credit Facility [Member] USD ($)	Aug. 31, 2010 Revolving Credit Facility [Member]	Jun. 30, 2013 Revolving Credit Facility [Member] USD ($)	Dec. 31, 2012 Revolving Credit Facility [Member] USD ($)	Aug. 30, 2010 Revolving Credit Facility [Member] USD ($)	Jun. 30, 2013 Revolving Credit Facility [Member] LIBOR [Member]	Dec. 31, 2012 Revolving Credit Facility [Member] LIBOR [Member]	May 31, 2012 Term Loan Facility [Member] USD ($)	Aug. 31, 2010 Term Loan Facility [Member] USD ($)	Jun. 30, 2013 Term Loan Facility [Member] USD ($)	Dec. 31, 2012 Term Loan Facility [Member] USD ($)	Jun. 30, 2013 Term Loan Facility [Member] Base rate [Member] Maximum [Member]	Aug. 30, 2010 New Credit Agreement [Member] USD ($)	Jun. 30, 2013 New Credit Agreement [Member] LIBOR [Member] Maximum [Member]	Jun. 30, 2013 New Credit Agreement [Member] Base rate [Member] Maximum [Member]	Jun. 30, 2013 Prior Credit Agreement [Member] LIBOR [Member]	Dec. 31, 2012 Prior Credit Agreement [Member] LIBOR [Member]
Debt Instrument [Line Items]
Debt instrument term (in years)									5 years							5 years
Maximum borrowing capacity		$ 7,500,000	€ 5,800,000	$ 7,600,000	€ 5,800,000							$ 200,000,000
Maximum borrowing capacity																100,000,000
Maximum additional borrowing capacity available																				50,000,000
Repayment of debt obligation	168,695,000														87,500,000
Repayment of debt obligation						20,000,000	20,000,000	57,500,000
Amount outstanding		0		100,000						20,000,000	20,000,000
Margin on variable rate													2.50%	2.50%							3.25%	2.25%
Variable rate basis																			LIBOR
Effective interest rate (as a Percent)																							2.70%	2.70%
Revolving credit facility due date										Aug. 30, 2015
Amount of restricted net assets		217,100,000		171,900,000
Restricted cash		20,601,000		21,314,000
Debt issuance costs incurred																	5,000,000
Write-off of debt issue costs															800,000
Deferred debt issuance costs, net																	$ 1,500,000	$ 1,800,000

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Summary of significant accounting policies

6 Months Ended

Jun. 30, 2013

Accounting Policies [Abstract]

Summary of significant accounting policies

1. Summary of significant accounting policies

(a) Basis of presentation

The accompanying Unaudited Condensed Consolidated Financial Statements have been prepared in accordance with accounting principles generally accepted in the United States (“U.S.”) for interim financial information and with the instructions to Form 10-Q and Rule 10-01 of Regulation S-X. Pursuant to these rules and regulations, certain information and note disclosures, normally included in financial statements prepared in accordance with accounting principles generally accepted in the U.S., have been condensed or omitted. In the opinion of management, all adjustments (consisting of normal recurring items) considered necessary for a fair presentation have been included. Operating results for the six months ended June 30, 2013 are not necessarily indicative of the results that may be expected for the year ending December 31, 2013. The balance sheet at December 31, 2012 has been derived from the audited financial statements at that date, but does not include all of the information and footnotes required by accounting principles generally accepted in the U.S. for complete financial statements. For further information, refer to the Consolidated Financial Statements and Notes thereto of the 2012 Form 10-K/A. The notes to the unaudited condensed consolidated financial statements are presented on a continuing operations basis unless otherwise noted.

(b) Reclassifications

The Company has reclassified certain line items to conform to the current year presentation. The reclassifications have no effect on previously reported net income or shareholders’ equity.

(c) Use of estimates

The preparation of financial statements in conformity with accounting principles generally accepted in the U.S. requires management to make estimates and assumptions that affect the amounts reported in the financial statements and accompanying notes. On an ongoing basis, the Company evaluates its estimates including those related to the resolution of U.S. government matters, contractual allowances, doubtful accounts, inventories, taxes, shared-based compensation, and potential goodwill and intangible asset impairment. Actual results could differ from these estimates.

(d) Foreign Currency Translation

The financial statements for operations outside the United States are generally maintained in their local currency. All foreign currency denominated balance sheet accounts, except shareholders’ equity, are translated to U.S. dollars at year end exchange rates and revenue and expense items are translated at weighted average rates of exchange prevailing during the year. Gains and losses resulting from the translation of foreign currency are recorded in the accumulated other comprehensive income component of shareholders’ equity.

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Income taxes - Additional Information (Detail) (USD $)	3 Months Ended		6 Months Ended
	Jun. 30, 2013	Jun. 30, 2012	Jun. 30, 2013	Jun. 30, 2012	Mar. 31, 2013	Dec. 31, 2012	Dec. 31, 2011
Income Tax [Line Items]
Provision for income tax	$ 2,997,000	$ 3,823,000	$ 7,678,000	$ 10,294,000
Income tax effective rate (as a percent)			39.50%	36.30%
Income tax effective rate excluding the impact of the charges related to the U.S. Government resolutions (as a percent)			39.50%	40.30%
Legal settlement expenses				400,000
Unrecognized tax benefit	800,000		800,000			1,200,000
Accrued interest and penalties related to unrecognized tax benefits					900,000	900,000
Recognition of uncertain tax benefits			Accounting guidance only allows the recognition of those tax benefits that have a greater than 50% likelihood of being sustained upon examination by the taxing authorities.
Unremitted foreign earnings						292,000,000	285,300,000
U.S. Subsidiary [Member]
Income Tax [Line Items]
Unremitted foreign earnings						$ 293,800,000

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Sale of Breg and Disposition of Sports Medicine GBU (Tables)

6 Months Ended

Jun. 30, 2013

Discontinued Operations And Disposal Groups [Abstract]

Schedule of Information Related to Sale of Breg

The following table presents the value of the asset disposition, proceeds received, net of various working capital adjustments and indebtedness and net gain on sale of Breg as shown in the condensed consolidated statement of operations for the year ended December 31, 2012.

(US$ in thousands)	Total
Cash proceeds	$	157,500
Less:
Working Capital		(7,093	)
Transaction related expenses		(4,276	)
Fair value of indemnification		(2,000	)
Tangible assets		(8,309	)
Intangible assets		(28,164	)
Goodwill		(106,200	)
Gain on sale of Breg before income taxes		1,458
Income tax expense		(113	)
Gain on sale of Breg, net of taxes	$	1,345

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Stock Repurchase Program - Additional Information (Detail) (USD $) In Millions, unless otherwise specified	0 Months Ended	3 Months Ended
	May 08, 2013	Jun. 30, 2013	Sep. 30, 2013 Subsequent Event [Member]
Schedule Of Share Repurchase Programs [Line Items]
Share repurchase program, authorized amount	$ 50
Stock repurchased amount		$ 26.9	$ 12.6

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Stock Repurchase Program

6 Months Ended

Jun. 30, 2013

Text Block [Abstract]

Stock Repurchase Program

17. Stock Repurchase Program

On May 8, 2013, the Company announced that the Board of Directors had authorized a share repurchase program in an amount up to $50 million. Repurchases began on May 10, 2013 consisting primarily of open market transactions at prevailing market prices in accordance with the guidelines specified under Rule 10b-18 of the Securities Exchange Act of 1934, as amended. Repurchases are being made from cash on hand, cash generated from operations and additional borrowings. The timing of the transactions and the aggregate number of shares of common stock that will be ultimately repurchased under the repurchase program will depend on a variety of factors, including market conditions and the prices at which the securities are repurchased. The Company may discontinue repurchases without prior notice at any time if the Company determines additional repurchases are not warranted. During the fiscal quarter ended June 30, 2013, the Company made total repurchases in an amount equal to $26.9 million. Between June 30, 2013 and the date of this Form 10-Q, the Company has made additional repurchases in an amount equal to $12.6 million, all of which additional repurchases occurred in the fiscal quarter ended September 30, 2013.

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Restatement of the Condensed Consolidated Financial Statements - Additional Information (Detail) (USD $)	3 Months Ended	6 Months Ended		3 Months Ended	12 Months Ended	6 Months Ended	12 Months Ended
	Jun. 30, 2012	Jun. 30, 2013	Jun. 30, 2012	Jun. 30, 2012 Inventory Reserves [Member]	Dec. 31, 2012 Inventory Reserves [Member]	Jun. 30, 2013 Distributor Revenue [Member] Distributor	Dec. 31, 2012 Distributor Revenue [Member] Distributor
Increase (Decrease) in net sales	$ 6,100,000		$ 13,200,000
Increase (Decrease) in net income from continuing operations	4,100,000		7,700,000
Distributors that did not meet the fixed or determinable or collectability revenue recognition criteria						4
Number of distributer terminated							2
Sales return							3,300,000
Increase (decrease) in accounts receivable		(13,124,000)	11,482,000				(41,300,000)
Increase (Decease) in inventory		12,882,000	(2,270,000)		(14,800,000)		(11,000,000)
Increase (decrease) in inventory reserve				$ 1,200,000

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Summary of significant accounting policies (Policies)

6 Months Ended

Jun. 30, 2013

Accounting Policies [Abstract]

Basis of presentation

(a) Basis of presentation

The accompanying Unaudited Condensed Consolidated Financial Statements have been prepared in accordance with accounting principles generally accepted in the United States (“U.S.”) for interim financial information and with the instructions to Form 10-Q and Rule 10-01 of Regulation S-X. Pursuant to these rules and regulations, certain information and note disclosures, normally included in financial statements prepared in accordance with accounting principles generally accepted in the U.S., have been condensed or omitted. In the opinion of management, all adjustments (consisting of normal recurring items) considered necessary for a fair presentation have been included. Operating results for the six months ended June 30, 2013 are not necessarily indicative of the results that may be expected for the year ending December 31, 2013. The balance sheet at December 31, 2012 has been derived from the audited financial statements at that date, but does not include all of the information and footnotes required by accounting principles generally accepted in the U.S. for complete financial statements. For further information, refer to the Consolidated Financial Statements and Notes thereto of the 2012 Form 10-K/A. The notes to the unaudited condensed consolidated financial statements are presented on a continuing operations basis unless otherwise noted.

Reclassifications

(b) Reclassifications

The Company has reclassified certain line items to conform to the current year presentation. The reclassifications have no effect on previously reported net income or shareholders’ equity.

Use of estimates

(c) Use of estimates

The preparation of financial statements in conformity with accounting principles generally accepted in the U.S. requires management to make estimates and assumptions that affect the amounts reported in the financial statements and accompanying notes. On an ongoing basis, the Company evaluates its estimates including those related to the resolution of U.S. government matters, contractual allowances, doubtful accounts, inventories, taxes, shared-based compensation, and potential goodwill and intangible asset impairment. Actual results could differ from these estimates.

Foreign Currency Translation

(d) Foreign Currency Translation

The financial statements for operations outside the United States are generally maintained in their local currency. All foreign currency denominated balance sheet accounts, except shareholders’ equity, are translated to U.S. dollars at year end exchange rates and revenue and expense items are translated at weighted average rates of exchange prevailing during the year. Gains and losses resulting from the translation of foreign currency are recorded in the accumulated other comprehensive income component of shareholders’ equity.

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Restatement of the Condensed Consolidated Financial Statements

6 Months Ended

Jun. 30, 2013

Text Block [Abstract]

Restatement of the Condensed Consolidated Financial Statements

2. Restatement of the Condensed Consolidated Financial Statements

Background

In July 2013, the Audit Committee (the “Audit Committee”) of the Company’s Board of Directors (the “Board”) commenced an independent review with the assistance of outside professionals into whether the Company had properly recognized revenue under U.S. generally accepted accounting principles (“GAAP”) in connection with certain revenue that had been recorded in 2012 and 2011 (the “Independent Review”). In conjunction with the Independent Review, the Company concluded that material errors existed in the previously issued financial statements for the fiscal years ended December 31, 2012, 2011 and 2010, as well as for the interim quarterly period ended March 31, 2013. In addition, the Company has identified and corrected errors occurring prior to January 1, 2010 by recognizing a cumulative adjustment to beginning retained earnings in the consolidated statements of changes in shareholders’ equity included in the consolidated financial statements filed with the 2012 Form 10-K/A.

In reaching these conclusions, the Company considered information obtained in the Independent Review, including emails, data and interviews with current and former employees that indicated (i) the existence of extra-contractual terms or arrangements at the onset of the sale and concessions agreed to subsequent to the initial sale, such as extended payment terms, and return and exchange rights for sales to distributors with respect to certain transactions, (ii) that at the time of some sales collection was not reasonably assured, and (iii) that certain amounts previously characterized as commissions were paid to related parties of the applicable customer.

The Company assessed the information derived from the Independent Review in making determinations with respect to accounting adjustments reflected in the restated consolidated financial statements contained in this Form 10-Q and in the 2012 Form 10-K/A, and such determinations are consistent with the findings of the Independent Review. In addition to the matters that were the subject of the Independent Review, certain other adjustments identified by management, including revisions to inventory reserves and royalties, were made to the consolidated financial statements in connection with the restatement.

The correction of these errors had the following impact for the three and six months ended June 30, 2012: decreased net sales by $6.1 million and $13.2 million, respectively; and decreased net income from continuing operations by $4.1 million and $7.7 million, respectively. The following include descriptions of the significant adjustments to the Company’s financial position and results of operations from the previously reported consolidated financial statements.

Distributor Revenue Recognition

The Company has determined that it previously recognized revenue with respect to certain distributor relationships before all revenue recognition criteria were met. Specifically, the Company has determined that a fixed or determinable sales price did not exist, and/or collection was not reasonably assured, with respect to certain transactions where revenue had previously been recognized at the time of shipment. Specifically, the Company’s review revealed arrangements, or extra-contractual terms, with certain of the Company’s distributors regarding extended payment terms, return or exchange rights, and contingent payment obligations for sales to such distributors with respect to certain transactions. There were also concessions being made subsequent to the shipment of inventory to the distributors and the related revenue recognition. Based on the results of this review, it was determined that these arrangements were not appropriately evaluated under the appropriate revenue recognition criteria applicable under GAAP.

The Company previously recognized distributor revenue as title and risk of loss passed at either shipment from the Company’s facilities or receipt at the distributor’s facility, assuming all other revenue recognition criteria had been achieved (the “sell-in method”). Based on review of all facts and circumstances related to the arrangements described above, the Company determined that in many instances the revenue recognition criteria under the sell-in method were not satisfied at the time of shipment or receipt; specifically, the existence of extra-contractual terms or arrangements caused the Company not to meet the fixed or determinable criteria for revenue recognition in some cases, and in others collectability had not been established. In situations where the Company is unable to reasonably estimate the effects of these extra-contractual terms, it is precluded from recognizing revenue relating to distributor arrangements until the product is delivered to the end customer. This method is commonly referred to as the “sell-through” revenue recognition method because the vendor does not recognize revenue until the transaction consideration is fixed or determinable, which coincides with the selling of the product through the distribution channel to the end customer. Because the Company does not have reliable information about when its distributors sell the product through to end customers, the Company will use cash collection from distributors as a basis for revenue recognition under the sell-through method. Although in many cases the Company is legally entitled to the accounts receivable at the time of shipment, since the revenue recognition criteria has not been met, the Company has not recognized accounts receivables or any corresponding deferred revenues associated with these transactions.

As part of the review, the Company also considered the accounting treatment for the related cost of sales when distributor revenue is recognized on a sell-through basis. Previously, cost of sales were recognized upon shipment; however, the Company believes the matching of the recognition of costs of sales with revenue is preferred and therefore considered if such costs should be deferred until revenue is recognized on a sell-through basis. In making this assessment, the Company considered the financial viability of its distributors based on their creditworthiness to determine if collectability of amounts sufficient to realize the costs of the products shipped was reasonably assured at the time of shipment to these distributors. In instances where the distributor was determined to be financially viable, the Company determined that costs of sales should be deferred until the revenue is recognized. For those distributors where the Company has concluded that collectability was not reasonably assured, the Company has expensed the related cost of sales upon shipment.

Based on the results of the Independent Review, the Company determined that all distributor transactions should be transitioned to the sell-through basis method of accounting as of the dates described below:

• For distributor transactions within the Company’s Orthopedics division, the Company has determined that sell-through accounting should be applied within the Brazil subsidiary for all prior periods given the frequency with which the Company conducted business under extra-contractual and undocumented terms, as well as the Company’s inability to fully access underlying transactional and other information that would be necessary to evaluate transactions under a sell-in basis. For distributor transactions within the division outside the Brazil subsidiary, there were also sales to four distributors that did not meet the fixed or determinable or collectability revenue recognition criteria and therefore, such sales were adjusted to sell-through accounting in the restatement.

• For other distributor transactions within the Company’s U.S. Spine division, the Company has determined that sell-through accounting should be applied beginning January 1, 2011. Following its consideration of the information provided from the Independent Review, the Company believes that January 1, 2011 is the date extra-contractual terms became pervasive in the Company’s U.S. business, and it is unaware of circumstances existing prior to that date that would require it to broadly apply sell-through accounting to all distributor transactions within the U.S. Spine division. Additionally, there were sales in 2012 and 2011 for which revenue was previously recognized that did not meet the fixed or determinable criteria and the product associated with such sales was subsequently returned in 2013 (i) under the terms of negotiated agreements whereby the Company terminated its relationships with two distributors and (ii) by an additional distributor who returned certain product sold pursuant to a contingent sales arrangement. Such sales represented approximately $3.3 million for the year ended December 31, 2012. Due to the return of the product, no revenue will be recognized for these transactions.

• The Company has determined that stimulation products sold to distributors within the Company’s U.S. Spine division during 2012 did not meet the fixed or determinable (and in some cases, collectability) revenue recognition criterion at the time of shipment. Therefore, the Company has determined that sell-through accounting should be applied for these sales. Management also determined that many of these distributors (or affiliates thereof) received commission payments as part of the sales transactions, which the Company previously recorded as sales and marketing expense. The Company has recorded adjustments in the restatement to net these commission expenses against revenue, as they represented product discounts.

• The Company has determined that it will prospectively apply sell-through accounting for all remaining distributor arrangements (which entails arrangements within the Company’s Orthopedics division outside the Brazil subsidiary) beginning April 1, 2013, the earliest date for which financial statements had not previously been issued by the Company at the time of the determination. Although the Independent Review did not provide information to indicate extra-contractual terms or that historical revenue recognition was inappropriate in these remaining instances, the Company believes the information from the Independent Review indicating that the Company has a history of extra-contractual arrangements for distributor transactions, as described above, provides additional information which should be considered in reassessing the application of sell-through accounting on a prospective basis, particularly given that the Company believes that there is a higher risk associated with distributor arrangements generally.

The effect of adjustments made to the Company’s previously filed consolidated statements of operations as a result of these matters for the three and six months ended June 30, 2012 are shown in the tables below. These adjustments also had the following effects on the Company’s previously filed December 31, 2012 consolidated balance sheet:

• Accounts receivable decreased as of December 31, 2012 by $41.3 million related to the de-recognition of receivables for which revenue has been deferred and will now be recognized on a sell-through basis, based on cash collections.

• Inventory increased as of December 31, 2012 by $11.0 million to recognize the costs of inventory shipments to distributors determined to be financially viable, as discussed previously.

Inventory Reserves

The Company also identified material errors in inventory reserves. One error related to the Company recording an increase of $1.2 million to the Company’s excess and obsolete reserve in the second quarter of 2012 related to a product within the Spine business that was subsequently reversed by the Company in the fourth quarter of 2012. During the Company’s review, it was determined that removing the reserve in the fourth quarter of 2012 was not correct; therefore the reserve has been reinstated.

The Company has also determined that certain inconsistencies existed with respect to how the Company previously computed and recorded inventory reserves. As a result, the Company has reviewed the methodologies used to compute and record inventory reserves and determined that errors in the application of GAAP existed in prior periods, which required adjustment in these financial statements. Based on this review, the Company has determined that it previously made reductions to previously recorded reserves based on changes in forecasted demand, which it believes was contrary to guidance set forth in ASC Topic 330, Inventory (specifically ASC 330-10-35-14), which states that a write-down of inventory to the lower-of-cost-or-market value at the close of a fiscal year creates a new cost basis that subsequently should not be marked up based on changes in underlying circumstances. The restated consolidated financial statements contain several adjustments to reflect recomputed inventory reserves in each of the relevant periods.

These adjustments resulted in a decrease to inventory (due to an increase in reserves) as of December 31, 2012 of $14.8 million.

Royalties

The Company also reviewed the accounting for royalties and determined there were royalties classified as sales and marketing expense; however, such royalties were based on sales of products and were paid to doctors who consulted on development of those products. Given these amounts are attributable to the cost of producing our products, we determined they are correctly classified as cost of goods sold.

Other Adjustments

In addition to the adjustments recorded to address the Company’s errors in accounting for distributor revenue recognition, inventory reserves, and royalties, the Company has identified other errors that are generally not material, individually or in the aggregate, but have been recorded in connection with the restatement.

There were no material impacts to the statements of cash flows for the items above. The results of the adjustments to the Company’s previously filed consolidated statements of operations detailed above for the three and six months ended June 30, 2012 are summarized in the tables below. The tax effect of the adjustments is estimated based on the Company’s effective tax rate.

	Three Months Ended June 30, 2012
				Adjustments by Category
(U.S. Dollars, in thousands)	Previously Reported			Distributor Revenue			Inventory Reserves			Royalties			Other			Total Adjustments			Restated
Net sales	$	119,492		$	(5,862	)	$	—		$	—		$	(207	)	$	(6,069	)	$	113,423
Cost of sales		23,676			(2,101	)		3,880			2,079			13			3,871			27,547
Gross profit		95,816			(3,761	)		(3,880	)		(2,079	)		(220	)		(9,940	)		85,876
Operating expenses
Sales and marketing		49,810			(527	)		—			(2,079	)		(129	)		(2,735	)		47,075
General and administrative		14,295			—			—			—			—			—			14,295
Research and development		9,252			—			—			—			—			—			9,252
Amortization of intangibles assets		530			—			—			—			50			50			580
Charges related to U.S. Government resolutions		1,364			—			—			—			(988	)		(988	)		376
		75,251			(527	)		—			(2,079	)		(1,067	)		(3,673	)		71,578
Operating income		20,565			(3,234	)		(3,880	)		—			847			(6,267	)		14,298
Other income and (expense)		(605	)		—			—			—			—			—			(605	)
Income before income taxes		19,960			(3,234	)		(3,880	)		—			847			(6,267	)		13,693
Income tax expense		(5,993	)		1,120			1,343			—			(293	)		2,170			(3,823	)
Net income from continuing operations, net of tax	$	13,967		$	(2,114	)	$	(2,537	)	$	—		$	554		$	(4,097	)	$	9,870

	Six Months Ended June 30, 2012
				Adjustments by Category
(U.S. Dollars, in thousands)	Previously Reported			Distributor Revenue			Inventory Reserves			Royalties			Other			Total Adjustments			Restated
Net sales	$	235,534		$	(13,256	)	$	—		$	—		$	81		$	(13,175	)	$	222,359
Cost of sales		45,616			(3,572	)		2,668			4,205			8			3,309			48,925
Gross profit		189,918			(9,684	)		(2,668	)		(4,205	)		73			(16,484	)		173,434
Operating expenses
Sales and marketing		99,331			(944	)		—			(4,205	)		21			(5,128	)		94,203
General and administrative		28,865			—			—			—			—			—			28,865
Research and development		16,302			—			—			—			—			—			16,302
Amortization of intangibles assets		1,060			—			—			—			100			100			1,160
Charges related to U.S. Government resolutions		1,364			—			—			—			(678	)		(678	)		686
		146,922			(944	)		—			(4,205	)		(557	)		(5,706	)		141,216
Operating income		42,996			(8,740	)		(2,668	)		—			630			(10,778	)		32,218
Other income and (expense)		(3,457	)		—			—			—			—			—			(3,457	)
Income before income taxes		39,539			(8,740	)		(2,668	)		—			630			(10,778	)		28,761
Income tax expense		(13,356	)		2,209			1,103			—			(250	)		3,062			(10,294	)
Net income from continuing operations, net of tax	$	26,183		$	(6,531	)	$	(1,565	)	$	—		$	380		$	(7,716	)	$	18,467

The effects of the restatement on the Company’s condensed consolidated balance sheet as of December 31, 2012 are as follows:

	As of December 31, 2012
(Unaudited, U.S. Dollars, in thousands, except share data)	Previously Reported		Adjustments			Restated
Assets
Current assets:
Cash and cash equivalents	$	31,055	$	—		$	31,055
Restricted cash		21,314		—			21,314
Trade accounts receivable, less allowances of $13,543		150,316		(43,004	)		107,312
Inventories		88,744		(5,371	)		83,373
Deferred income taxes		16,959		16,491			33,450
Prepaid expenses and other current assets		32,056		2,023			34,079
Total current assets		340,444		(29,861	)		310,583
Property, plant and equipment, net		51,362		2,473			53,835
Patents and other intangible assets, net		6,880		410			7,290
Goodwill		74,388		—			74,388
Deferred income taxes		19,904		(1,023	)		18,881
Other long-term assets		11,303		(3,383	)		7,920
Total assets	$	504,281	$	(31,384	)	$	472,897
Liabilities and shareholders’ equity
Current liabilities:
Trade accounts payable	$	21,812	$	763		$	22,575
Other current liabilities		46,985		(7,375	)		39,610
Total current liabilities		68,797		(6,612	)		62,185
Long-term debt		20,000		—			20,000
Deferred income taxes		11,456		—			11,456
Other long-term liabilities		4,930		6,494			11,424
Total liabilities		105,183		(118	)		105,065
Contingencies (Note 16)
Shareholders’ equity:
Common shares $0.10 par value; 50,000,000 shares authorized; 19,339,329 issued and outstanding		1,934		—			1,934
Additional paid-in capital		246,111		195			246,306
Retained earnings		148,549		(33,702	)		114,847
Accumulated other comprehensive income		2,504		2,241			4,745
Total shareholders’ equity		399,098		(31,266	)		367,832
Total liabilities and shareholders’ equity	$	504,281	$	(31,384	)	$	472,897

The effects of the restatements on the Company’s condensed consolidated statement of operations and comprehensive income for the three months ended June 30, 2012 are as follows:

	Three Months Ended June 30, 2012
(Unaudited, U.S. Dollars, in thousands, except share and per share  data)	Previously Reported			Adjustments			Restated
Product sales	$	107,906		$	(6,004	)	$	101,902
Marketing service fees		11,586			(65	)		11,521
Net sales		119,492			(6,069	)		113,423
Cost of sales		23,676			3,871			27,547
Gross profit		95,816			(9,940	)		85,876
Operating expenses
Sales and marketing		49,810			(2,735	)		47,075
General and administrative		14,295			—			14,295
Research and development		9,252			—			9,252
Amortization of intangible assets		530			50			580
Charges Related to US Government Resolutions		1,364			(988	)		376
		75,251			(3,673	)		71,578
Operating income		20,565			(6,267	)		14,298
Other income and expense
Interest expense, net		(1,265	)		—			(1,265	)
Other income		660			—			660
		(605	)		—			(605	)
Income before income taxes		19,960			(6,267	)		13,693
Income tax expense		(5,993	)		2,170			(3,823	)
Net income from continuing operations, net of tax		13,967			(4,097	)		9,870
Discontinued operations (Note 16)
Gain on sale of Breg, Inc. (net of tax)		1,040			—			1,040
Loss from discontinued operations		(5,846	)		(7	)		(5,853	)
Income tax benefit		2,044			153			2,197
Net loss from discontinued operations, net of tax		(2,762	)		146			(2,616	)
Net income	$	11,205		$	(3,951	)	$	7,254
Net income (loss) per common share- basic:
Net income from continuing operations, net of tax	$	0.74		$	(0.22	)	$	0.52
Net loss from discontinued operations, net of tax		(0.15	)		0.01			(0.14	)
Net income per common share- basic	$	0.59		$	(0.21	)	$	0.38
Net income (loss) per common share- diluted:
Net income from continuing operations, net of tax	$	0.73		$	(0.22	)	$	0.51
Net loss from discontinued operations, net of tax		(0.15	)		0.01			(0.14	)
Net income per common share- diluted	$	0.58		$	(0.21	)	$	0.37
Weighted average number of common shares:
Basic		18,827,452			—			18,827,452
Diluted		19,215,984			—			19,215,984
Comprehensive income	$	6,822		$	(3,112	)	$	3,710

The effects of the restatements on the Company’s condensed consolidated statement of operations and comprehensive income for the six months ended June 30, 2012 are as follows:

	Six Months Ended June 30, 2012
(Unaudited, U.S. Dollars, in thousands, except share and per share  data)	Previously Reported			Adjustments			Restated
Product sales	$	212,726		$	(13,216	)	$	199,510
Marketing service fees		22,808			41			22,849
Net sales		235,534			(13,175	)		222,359
Cost of sales		45,616			3,309			48,925
Gross profit		189,918			(16,484	)		173,434
Operating expenses
Sales and marketing		99,331			(5,128	)		94,203
General and administrative		28,865			—			28,865
Research and development		16,302			—			16,302
Amortization of intangible assets		1,060			100			1,160
Charges Related to US Government Resolutions		1,364			(678	)		686
		146,922			(5,706	)		141,216
Operating income		42,996			(10,778	)		32,218
Other income and expense
Interest expense, net		(3,486	)		—			(3,486	)
Other income		29			—			29
		(3,457	)		—			(3,457	)
Income before income taxes		39,539			(10,778	)		28,761
Income tax expense		(13,356	)		3,062			(10,294	)
Net income from continuing operations, net of tax		26,183			(7,716	)		18,467
Discontinued operations (Note 16)
Gain on sale of Breg, Inc. (net of tax)		1,040			—			1,040
Loss from discontinued operations		(6,352	)		1,026			(5,326	)
Income tax benefit		2,350			130			2,480
Net loss from discontinued operations, net of tax		(2,962	)		1,156			(1,806	)
Net income	$	23,221		$	(6,560	)	$	16,661
Net income (loss) per common share- basic:
Net income from continuing operations, net of tax	$	1.40		$	(0.42	)	$	0.98
Net loss from discontinued operations, net of tax		(0.16	)		0.06			(0.10	)
Net income per common share- basic	$	1.24		$	(0.36	)	$	0.88
Net income (loss) per common share- diluted:
Net income from continuing operations, net of tax	$	1.37		$	(0.41	)	$	0.96
Net loss from discontinued operations, net of tax		(0.16	)		0.07			(0.09	)
Net income per common share- diluted	$	1.21		$	(0.34	)	$	0.87
Weighted average number of common shares:
Basic		18,751,573			—			18,751,573
Diluted		19,168,940			—			19,168,940
Comprehensive income	$	21,548		$	(6,030	)	$	15,518

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Consolidated Balance Sheets (Parenthetical) (USD $) In Thousands, except Share data, unless otherwise specified	Jun. 30, 2013	Dec. 31, 2012
Statement Of Financial Position [Abstract]
Trade accounts receivable, allowance for doubtful accounts	$ 10,977	$ 13,543
Common shares, par value	$ 0.10	$ 0.10
Common shares, authorized	50,000,000	50,000,000
Common shares, issued	18,494,258	19,339,329
Common shares, outstanding	18,494,258	19,339,329

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Share-based compensation

6 Months Ended

Jun. 30, 2013

Disclosure Of Compensation Related Costs Sharebased Payments [Abstract]

Share-based compensation

12. Share-based compensation

All share-based compensation costs are measured at the grant date, based on the estimated fair value of the award, and are recognized as expense in the condensed consolidated statements of operations over the requisite service period.

The following table shows the detail of share-based compensation by line item in the condensed consolidated statements of operations:

	Three Months Ended June 30,					Six Months Ended June 30,
(US$ in thousands)	2013			2012		2013			2012
				(Restated)					(Restated)
Cost of sales	$	(563	)	$	106	$	(276	)	$	283
Sales and marketing		470			397		906			842
General and administrative		1,530			772		2,705			1,542
Research and development		57			30		102			71
Total	$	1,494		$	1,305	$	3,437		$	2,738

For the six months ended June 30, 2013 and 2012, there were no performance requirements for share-based compensation awarded to employees. In March 2013, the Company granted options to its newly-appointed Chief Executive Officer, which vesting is based on achieving certain market prices for the Company’s common stock.

During the six months ended June 30, 2013 and 2012, there were 143,444 and 218,324 shares, respectively, of common stock issued related to stock purchase plan issuances, stock option exercises and the vesting of restricted stock awards.

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Document and Entity Information	6 Months Ended
	Jun. 30, 2013	Mar. 14, 2014
Document And Entity Information [Abstract]
Document Type	10-Q
Amendment Flag	false
Document Period End Date	Jun. 30, 2013
Document Fiscal Year Focus	2013
Document Fiscal Period Focus	Q2
Trading Symbol	OFIX
Entity Registrant Name	ORTHOFIX INTERNATIONAL N V
Entity Central Index Key	0000884624
Current Fiscal Year End Date	--12-31
Entity Filer Category	Large Accelerated Filer
Entity Common Stock, Shares Outstanding		18,187,194

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Income taxes

6 Months Ended

Jun. 30, 2013

Income Tax Disclosure [Abstract]

Income taxes

13. Income taxes

The Company recognized a $7.7 million and $10.3 million provision for income tax which reflects an effective tax rate of 39.5% and 36.3% on pre-tax income for the six months ended June 30, 2013 and 2012, respectively. For the six months ended June 30, 2012, $0.4 million of income related to legal settlements is discrete and not included in the foregoing calculation of the effective tax rate. Excluding the impact of various discrete charges, the effective tax rate on continuing operations for the first six months of 2013 and 2012 was 39.5% and 40.3%, respectively. The principal factors affecting the Company’s effective tax rate was the Company’s mix of earnings among various tax jurisdictions, state taxes and current period losses in certain jurisdictions for which the Company does not currently provide a tax benefit.

The company applies a more likely than not recognition threshold for all tax uncertainties. Accounting guidance only allows the recognition of those tax benefits that have a greater than 50% likelihood of being sustained upon examination by the taxing authorities. As of June 30, 2013 and December 31, 2012, the Company’s unrecognized tax benefit was $0.8 million and $1.2 million, respectively. In March 2013 the Company settled a $0.9 million liability that had been previously accrued as of December 31, 2012. The entire amount of unrecognized tax benefits, including interest, would favorably impact the Company’s effective tax rate if recognized. As of June 30, 2013, the Company does not expect the amount of unrecognized tax benefits to change significantly over the next twelve months.

Unremitted foreign earnings increased from $285.3 million at December 31, 2011 to $292 million at December 31, 2012. The $292 million includes $293.8 million in U.S subsidiaries. The Company does not anticipate any impact on income tax liabilities since earnings are permanently reinvested for both U.S and non-U.S. subsidiaries.

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Consolidated Statements of Operations and Comprehensive Income (Loss) (USD $) In Thousands, except Share data, unless otherwise specified	3 Months Ended		6 Months Ended
	Jun. 30, 2013	Jun. 30, 2012	Jun. 30, 2013	Jun. 30, 2012
Income Statement [Abstract]
Product sales	$ 86,633	$ 101,902	$ 177,969	$ 199,510
Marketing service fees	11,647	11,521	23,684	22,849
Net sales	98,280	113,423	201,653	222,359
Cost of sales	20,246	27,547	45,863	48,925
Gross profit	78,034	85,876	155,790	173,434
Operating expenses
Sales and marketing	44,910	47,075	89,964	94,203
General and administrative	15,204	14,295	33,534	28,865
Research and development	8,551	9,252	14,292	16,302
Amortization of intangible assets	565	580	1,109	1,160
Charges related to U.S. Government resolutions		376		686
Total operating expenses	69,230	71,578	138,899	141,216
Operating income	8,804	14,298	16,891	32,218
Other income and expense
Interest expense, net	(470)	(1,265)	(1,030)	(3,486)
Other income (expense), net	(1,207)	660	3,557	29
Total other income (expense)	(1,677)	(605)	2,527	(3,457)
Income before income taxes	7,127	13,693	19,418	28,761
Income tax expense	(2,997)	(3,823)	(7,678)	(10,294)
Net income from continuing operations, net of tax	4,130	9,870	11,740	18,467
Discontinued operations (Note 15)
Gain on sale of Breg, Inc., net of tax		1,040		1,040
Loss from discontinued operations	(9,154)	(5,853)	(13,588)	(5,326)
Income tax benefit	2,707	2,197	4,031	2,480
Net loss from discontinued operations, net of tax	(6,447)	(2,616)	(9,557)	(1,806)
Net Income (loss)	(2,317)	7,254	2,183	16,661
Net income (loss) per common share- basic:
Net income from continuing operations, net of tax	$ 0.22	$ 0.52	$ 0.61	$ 0.98
Net income (loss) from discontinued operations, net of tax	$ (0.34)	$ (0.14)	$ (0.50)	$ (0.10)
Net income (loss) per common share- basic	$ (0.12)	$ 0.38	$ 0.11	$ 0.88
Net income (loss) per common share- diluted:
Net income from continuing operations, net of tax	$ 0.21	$ 0.51	$ 0.60	$ 0.96
Net income (loss) from discontinued operations, net of tax	$ (0.33)	$ (0.14)	$ (0.49)	$ (0.09)
Net income (loss) per common share- diluted:	$ (0.12)	$ 0.37	$ 0.11	$ 0.87
Weighted average number of common shares:
Basic	19,140,520	18,827,452	19,285,004	18,751,573
Diluted	19,270,044	19,215,984	19,483,715	19,168,940
Comprehensive income (loss)	$ (2,836)	$ 3,842	$ (1,362)	$ 15,629

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Long-term debt

6 Months Ended

Jun. 30, 2013

Debt Disclosure [Abstract]

Long-term debt

7. Long-term debt

On August 30, 2010, the Company’s wholly-owned U.S. holding company, Orthofix Holdings, Inc. (“Orthofix Holdings”) entered into a Credit Agreement (the “Credit Agreement”) with certain domestic direct and indirect subsidiaries of the Company (the “Guarantors”), JPMorgan Chase Bank, N.A., as Administrative Agent, RBS Citizens, N.A., as Syndication Agent, and certain lender parties thereto.

The Credit Agreement provides for a five year, $200 million secured revolving credit facility (the “Revolving Credit Facility”), and a five year, $100 million secured term loan facility (the “Term Loan Facility”, and together with the Revolving Credit Facility, the “Credit Facilities”). Orthofix Holdings has the ability to increase the amount of the Credit Facilities by an aggregate amount of up to $50 million upon satisfaction of certain conditions.

In May 2012, the Company used a portion of the proceeds from the sale of Breg, Inc. (“Breg”) (see Note 15) to repay in full the remaining $87.5 million balance on the Term Loan Facility and pay down $57.5 million of amounts outstanding under the Revolving Credit Facility. This use of proceeds was required by the lenders’ consent dated April 23, 2012 to the Credit Agreement. As a result of the sale of Breg, Breg ceased to be a subsidiary of the Company and, therefore, Breg was released as a credit party under the Credit Agreement. Additionally, the Company paid $20 million in June 2012 and $20 million in September 2012 to reduce amounts outstanding under the Revolving Credit Facility. As a result, at December 31, 2012, the Term Loan Facility had been repaid in full and there was $20 million outstanding under the Revolving Credit Facility as of June 30, 2013 and December 31, 2012. Borrowings under the Credit Facilities bear interest at a floating rate, which is, at Orthofix Holdings’ option, either the London Inter-Bank Offered Rate (“LIBOR”) plus an applicable margin or a base rate (as defined in the Credit Agreement) plus an applicable margin (in each case subject to adjustment based on financial ratios). Such applicable margin will be up to 3.25% for LIBOR borrowings and up to 2.25% for base rate borrowings depending upon a measurement of the consolidated leverage ratio with respect to the immediately preceding four fiscal quarters. As of June 30, 2013 and December 31, 2012, the entire Revolving Credit Facility was at the LIBOR rate plus a margin of 2.50%. The effective interest rate on the Credit Facilities as of June 30, 2013 and December 31, 2012 was 2.7%.

Outstanding balances on the Revolving Credit Facility are due on August 30, 2015.

Borrowings under the Revolving Credit Facility, which may be made in the future, will be used for working capital, capital expenditures and other general corporate purposes of Orthofix Holdings and its subsidiaries. The Guarantors have guaranteed repayment of Orthofix Holdings’ obligations under the Credit Agreement. The obligations of Orthofix Holdings and each of the Guarantors with respect to the Credit Facilities are secured by a pledge of substantially all of the assets of Orthofix Holdings and each of the Guarantors.

The Credit Agreement, as amended, requires Orthofix Holdings and the Company to comply with coverage ratios on a consolidated basis and contains affirmative and negative covenants, including limitations on additional debt, liens, investments and acquisitions. The Credit Agreement, as amended, also includes events of default customary for facilities of this type. Upon the occurrence of an event of default, all outstanding loans may be accelerated and/or the lenders’ commitments terminated. On August 14, 2013, we obtained a Limited Waiver which waived requirements under the Credit Agreement to deliver quarterly financial statements for the fiscal quarters ending on June 30, 2013 and September 30, 2013, and related financial covenant certificates, until the earlier of (i) March 31, 2014 or (ii) the date that is one day after such financial statements are publicly filed or released. The Company was in compliance with the affirmative and negative covenants at June 30, 2013 and there were no events of default.

Certain subsidiaries of the Company have restrictions on their ability to pay dividends or make intercompany loan advances pursuant to the Company’s Credit Facilities. The net assets of Orthofix Holdings and its subsidiaries are restricted for distributions to the parent company. Domestic subsidiaries of the Company, as parties to the credit agreement, have access to these net assets for operational purposes.

The amount of restricted net assets of Orthofix Holdings and its subsidiaries as of June 30, 2013 and December 31, 2012 is $217.1 million and $171.9 million, respectively. In addition, the Credit Agreement restricts the Company and subsidiaries that are not parties to the Credit Facilities from access to cash held by Orthofix Holdings, Inc. and its subsidiaries. All of the Company’s subsidiaries that are parties to the Credit Agreement have access to this cash for operational and debt repayment purposes. The amount of restricted cash of the Company as of June 30, 2013 and December 31, 2012 was $20.6 million and $21.3 million, respectively.

In conjunction with obtaining the Credit Facilities and the Credit Agreement, as amended, the Company incurred debt issuance costs of $5 million. These costs are being amortized using the effective interest method over the life of the Credit Facilities. In conjunction with the Term Loan Facility repayment in May 2012, the Company wrote off $0.8 million of related debt issuance costs. As of June 30, 2013 and December 31, 2012, debt issuance costs, net of accumulated amortization, related to the Credit Agreement were $1.5 million and $1.8 million, respectively.

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Bank borrowings

6 Months Ended

Jun. 30, 2013

Debt Disclosure [Abstract]

Bank borrowings

6. Bank borrowings

Borrowings under the line of credit consists of borrowings in Euros used to fund international operations. There were no borrowings under such facilities at June 30, 2013 and $0.1 million at December 31, 2012. The weighted average interest rates on borrowings under the line of credit at December 31, 2012 was 3.70%.

The Company had an unused available line of credit of €5.8 million ($7.5 million) and €5.8 million ($7.6 million) at June 30, 2013 and December 31, 2012, respectively, in its Italian line of credit. This line of credit provides the Company the option to borrow amounts in Italy at rates which are determined at the time of borrowing. This line of credit is unsecured.

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Subsequent Events

6 Months Ended

Jun. 30, 2013

Subsequent Events [Abstract]

Subsequent Events

18. Subsequent Events

In August 2013, as a result of the delay in filing this Report and expected delay in filing our Quarterly Report on Form 10-Q for the quarterly period ended September 30, 2013, we sought and obtained a Limited Waiver which waived requirements under the Credit Agreement to deliver quarterly financial statements for the fiscal quarters ending on June 30, 2013 and September 30, 2013, and related financial covenant certificates, until the earlier of (i) March 31, 2014 or (ii) the date that is one day after such financial statements are publicly filed or released.

We have been delinquent in the filing of our Quarterly Reports on Form 10-Q for the fiscal quarters ended June 30, 2013 and September 30, 2013, as a result of which we have not been in compliance with the rules of the Nasdaq Stock Market and are subject to having our stock delisted from trading on Nasdaq. We have been granted a stay of the delisting of our common stock until such time as a Nasdaq Hearings Panel makes a decision on the merits following a hearing, which hearing has been scheduled for March 27, 2014. We expect to file our Quarterly Report on Form 10-Q for the fiscal quarter ended September 30, 2013 on March 24, 2014. We also expect to file our Annual Report on Form 10-K for the year ended December 31, 2013 (which is otherwise due under SEC rules on March 17, 2014) by March 31, 2014. As a result, we currently believe that we will adequately remedy our current non-compliance with Nasdaq’s listing rules. However, there can be no assurance that the Nasdaq hearings panel will concur with our belief that we have remedied our prior non-compliance, in which case our common stock could remain subject to delisting by Nasdaq.

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Business segment information

6 Months Ended

Jun. 30, 2013

Segment Reporting [Abstract]

Business segment information

14. Business segment information

The Company’s segment information (as provided below) has been prepared based on the Company’s two global business units (“GBU”) reporting segments, Spine and Orthopedics. The accounting policies of the segments are the same as those described in the business segment information found in Note 13 to the Consolidated Financial Statements included in the 2012 Form 10-K/A.

The table below presents external net sales by GBU reporting segment. Net sales include product sales and marketing service fees. Marketing service fees, which are recorded on a net basis, are comprised of fees earned for the marketing of Trinity Evolution ^®, Trinity ELITE^™ and Versashield^® in spine and orthopedic applications.

	External Net Sales by GBU
	Three Months Ended June 30,
(US$ in thousands)	2013		2012		Reported Decline			Constant Currency Decline
			(Restated)
Spine
Spine Repair Implants and Regenerative Biologics	$	33,953	$	35,135		(3	)%		(10	)%
Spine Regenerative Stimulation		34,088		41,759		(18	)%		(21	)%
Total Spine		68,041		76,894		(12	)%		(16	)%
Orthopedics		30,239		36,529		(17	)%		(5	)%
Total Net Sales	$	98,280	$	113,423		(13	)%		(12	)%

	External Net Sales by GBU
	Six Months Ended June 30,
(US$ in thousands)	2013		2012		Reported Decline			Constant Currency Decline
			(Restated)
Spine
Spine Repair Implants and Regenerative Biologics	$	70,233	$	69,528		1	%		1	%
Spine Regenerative Stimulation		67,832		80,549		(16	)%		(16	)%
Total Spine		138,065		150,077		(8	)%		(8	)%
Orthopedics		63,588		72,282		(12	)%		(11	)%
Total Net Sales	$	201,653	$	222,359		(9	)%		(10	)%

The table below presents operating income (loss) by GBU reporting segment:

Operating Income (Loss) by GBU	Three Months Ended June 30,						Six Months Ended June 30,
(US$ in thousands)	2013			2012			2013			2012
				(Restated)						(Restated)
Spine	$	15,440		$	16,278		$	30,121		$	38,297
Orthopedics		(1,110	)		2,521			930			2,592
Corporate		(5,526	)		(4,501	)		(14,160	)		(8,671	)
Total	$	8,804		$	14,298		$	16,891		$	32,218

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Comprehensive income (loss)

6 Months Ended

Jun. 30, 2013

Equity [Abstract]

Comprehensive income (loss)

10. Comprehensive income (loss)

Accumulated other comprehensive income is comprised of foreign currency translation adjustments and the effective portion of the gain (loss) on the Company’s cross-currency swap, which is designated and accounted for as a cash flow hedge. The components of and changes in accumulated other comprehensive income were as follows:

(US$ in thousands)	Foreign Currency Translation Adjustments			Fair Value  of Cross-Currency Swap			Accumulated Other Comprehensive Income
Balance at December 31, 2012 (Restated)	$	4,614		$	131		$	4,745
Unrealized gain on cross-currency swap, net of tax of $56		—			(96	)		(96	)
Foreign currency translation adjustment (1)		(3,449	)		—			(3,449	)
Balance at June 30, 2013	$	1,165		$	35		$	1,200

(1) As the cash generally remains permanently invested in the non-U.S. dollar denominated foreign subsidiaries, no deferred taxes are recognized on the related foreign currency translation adjustment.

Comprehensive income (loss) was comprised of the following components:

	Three Months Ended June 30,						Six Months Ended June 30,
(US$ in thousands)	2013			2012			2013			2012
				(Restated)						(Restated)
Net income (loss)	$	(2,317	)	$	7,254		$	2,183		$	16,661
Other comprehensive income (loss):
Unrealized gain (loss) on cross-currency swap, net of tax $56		222			(585	)		(96	)		(76	)
Foreign currency translation adjustment		(741	)		(2,827	)		(3,449	)		(956	)
Total comprehensive income (loss)	$	(2,836	)	$	3,842		$	(1,362	)	$	15,629

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Business Segment Information - Additional Information (Detail)	6 Months Ended
	Jun. 30, 2013 Segment
Segment Reporting [Abstract]
Number of global business units	2

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Derivative instruments

6 Months Ended

Jun. 30, 2013

Derivative Instruments And Hedging Activities Disclosure [Abstract]

Derivative instruments

8. Derivative instruments

The tables below disclose the types of derivative instruments the Company owns, the classifications and fair values of these instruments within the balance sheet, and the amount of gain (loss) recognized in other comprehensive income (loss) (“OCI”) or net income (loss).

(US$ in thousands) As of June 30, 2013	Fair value: favorable (unfavorable)		Balance sheet location
Cross-currency swap	$	1,033		Other long-term assets
As of December 31, 2012
Cross-currency swap	$	305		Other long-term assets

	Three Months Ended June 30,					Six Months Ended June 30,
(US$ in thousands)	2013		2012			2013			2012
Cross-currency swap unrealized gain (loss) recorded in other comprehensive income (loss), net of taxes	$	222	$	(585	)	$	(96	)	$	(76	)

Cross-currency swap

On September 30, 2010, the Company entered into a cross-currency swap agreement (the “replacement swap agreement”) with JPMorgan Chase Bank and Royal Bank of Scotland PLC (the “counterparties”) to manage its cash flows related to foreign currency exposure for a portion of the Company’s intercompany receivable of a U.S. dollar functional currency subsidiary that is denominated in Euro.

Under the terms of the swap agreement, the Company pays Euros based on a €28.7 million notional value and a fixed rate of 5.00% and receives U.S. dollars based on a notional value of $39 million and a fixed rate of 4.635%. The expiration date is December 30, 2016, the date upon which the underlying intercompany debt, to which the swap agreement applies, matures. The swap agreement is designated as a cash flow hedge and therefore the Company recognized an unrealized gain (loss) on the change in fair value, net of tax, within other comprehensive income (loss).

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Fair value measurements

6 Months Ended

Jun. 30, 2013

Fair Value Disclosures [Abstract]

Fair value measurements

9. Fair value measurements

Fair value is defined as the price that would be received for an asset or paid to transfer a liability (an exit price) in the principal or most advantageous market for the asset or liability in an orderly transaction between market participants on the measurement date. Non-financial assets and liabilities of the Company measured at fair value include any long-lived assets or equity method investments that are impaired in a currently reported period. The authoritative guidance also describes three levels of inputs that may be used to measure fair value:

Level 1 —	quoted prices in active markets for identical assets and liabilities
Level 2 —	observable inputs other than quoted prices in active markets for identical assets and liabilities
Level 3 —	unobservable inputs in which there is little or no market data available, which require the reporting entity to develop its own assumptions

As of June 30, 2013, the Company’s financial instruments included cash equivalents, restricted cash, accounts receivable, short-term bank borrowings, accounts payable, long-term secured debt and a cross currency derivative contract. Cash equivalents consist of short-term, highly liquid, income-producing investments, all of which have original maturities of 90 days or less, including money market funds. The carrying value of restricted cash, accounts receivable, short-term bank borrowings and accounts payable approximate fair value due to the short-term maturities of these instruments. The Company’s credit facilities carry a floating rate of interest, and therefore, the carrying value is considered to approximate the fair value.

The Company’s cross-currency derivative instrument is the only financial instrument recorded at fair value on a recurring basis. This instrument consists of an over-the-counter contract, which is not traded on a public exchange. The fair value of the swap contract is determined based on inputs that are readily available in public markets or can be derived from information available in publicly quoted markets. Therefore, the Company has categorized the swap contract as a Level 2 derivative financial instrument. The Company also considers counterparty credit risk and its own credit risk in its determination of all estimated fair values. The Company has consistently applied these valuation techniques in all periods presented.

The fair value of the Company’s financial assets and liabilities on a recurring basis were as follows:

(US$ in thousands)	Balance June 30, 2013		Level 1		Level 2		Level 3
Derivative financial instruments (1)
Cash flow hedges
Cross-currency swap	$	1,033	$	—	$	1,033	$	—

(1) See Note 8, “Derivative Instruments”

(US$ in thousands)	Balance December 31, 2012		Level 1		Level 2		Level 3
Derivative financial instruments(1)
Cash flow hedges
Cross-currency swap	$	305	$	—	$	305	$	—

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Earnings per share

6 Months Ended

Jun. 30, 2013

Earnings Per Share [Abstract]

Earnings per share

11. Earnings per share

For the three and six months ended June 30, 2013 and 2012, there were no adjustments to net income (loss) for purposes of calculating basic and diluted net income (loss) available to common shareholders. For the three months ended June 30, 2013, potentially dilutive shares totaled 129,524. The following is a reconciliation of the weighted average shares used in the basic and diluted net income (loss) per common share computations.

	Three Months Ended June 30,				Six Months Ended June 30,
	2013		2012		2013		2012
			(Restated)				(Restated)
Weighted average common shares-basic		19,140,520		18,827,452		19,285,004		18,751,573
Effect of dilutive securities:
Unexercised stock options net of treasury share repurchase		129,524		388,532		198,711		417,367
Weighted average common shares-diluted		19,270,044		19,215,984		19,483,715		19,168,940

Options to purchase shares of common stock with exercise prices in excess of the average market price of common shares are not included in the computation of diluted earnings per share. There were 996,478 and 768,269 outstanding options not included in the diluted earnings per share computation for the six months ended June 30, 2013 and 2012, respectively, because the inclusion of these options was anti-dilutive.

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Sale of Breg and Disposition of Sports Medicine GBU - Schedule of Information Related to Sale of Breg (Detail) (USD $) In Thousands, unless otherwise specified	3 Months Ended	6 Months Ended	12 Months Ended
	Jun. 30, 2012	Jun. 30, 2012	Dec. 31, 2012 Breg Orthofix Holdings, Inc [Member]
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]
Cash proceeds			$ 157,500
Less:
Working Capital			(7,093)
Transaction related expenses			(4,276)
Fair value of indemnification			(2,000)
Tangible assets			(8,309)
Intangible assets			(28,164)
Goodwill			(106,200)
Gain on sale of Breg before income taxes			1,458
Income tax expense			(113)
Gain on sale of Breg, net of taxes	$ 1,040	$ 1,040	$ 1,345

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Sale of Breg and Disposition of Sports Medicine GBU - Additional Information (Detail) (USD $)	3 Months Ended	6 Months Ended	12 Months Ended	0 Months Ended	6 Months Ended	12 Months Ended
	Jun. 30, 2013	Jun. 30, 2013	Dec. 31, 2012 Breg Orthofix Holdings, Inc [Member]	May 24, 2012 Orthofix Inc [Member] Breg Orthofix Holdings, Inc [Member]	Jun. 30, 2013 Orthofix Inc [Member] Breg Orthofix Holdings, Inc [Member]	Dec. 31, 2012 Orthofix Inc [Member] Breg Orthofix Holdings, Inc [Member]
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]
Proceeds from sale of outstanding shares of Breg				$ 157,500,000
Prepayment of outstanding company indebtedness				145,000,000
Fair value of liability				2,000,000
Period of indemnification (in years)					3 years
Obligations under guarantee			2,000,000		1,300,000	1,600,000
Indemnification Expense	$ 8,800,000	$ 12,800,000

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Business segment information (Tables)

6 Months Ended

Jun. 30, 2013

Segment Reporting [Abstract]

Schedule of External Net Sales by GBU Reporting Segment

The table below presents external net sales by GBU reporting segment. Net sales include product sales and marketing service fees. Marketing service fees, which are recorded on a net basis, are comprised of sales of Trinity Evolution ^® in spine and orthopedic applications.

	External Net Sales by GBU
	Three Months Ended June 30,
(US$ in thousands)	2013		2012		Reported Decline			Constant Currency Decline
			(Restated)
Spine
Spine Repair Implants and Regenerative Biologics	$	33,953	$	35,135		(3	)%		(10	)%
Spine Regenerative Stimulation		34,088		41,759		(18	)%		(21	)%
Total Spine		68,041		76,894		(12	)%		(16	)%
Orthopedics		30,239		36,529		(17	)%		(5	)%
Total Net Sales	$	98,280	$	113,423		(13	)%		(12	)%

	External Net Sales by GBU
	Six Months Ended June 30,
(US$ in thousands)	2013		2012		Reported Decline			Constant Currency Decline
			(Restated)
Spine
Spine Repair Implants and Regenerative Biologics	$	70,233	$	69,528		1	%		1	%
Spine Regenerative Stimulation		67,832		80,549		(16	)%		(16	)%
Total Spine		138,065		150,077		(8	)%		(8	)%
Orthopedics		63,588		72,282		(12	)%		(11	)%
Total Net Sales	$	201,653	$	222,359		(9	)%		(10	)%

Operating Income (Loss) by GBU

The table below presents operating income (loss) by GBU reporting segment:

Operating Income (Loss) by GBU	Three Months Ended June 30,						Six Months Ended June 30,
(US$ in thousands)	2013			2012			2013			2012
				(Restated)						(Restated)
Spine	$	15,440		$	16,278		$	30,121		$	38,297
Orthopedics		(1,110	)		2,521			930			2,592
Corporate		(5,526	)		(4,501	)		(14,160	)		(8,671	)
Total	$	8,804		$	14,298		$	16,891		$	32,218

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Comprehensive income (loss) - Schedule of Components of Changes in Accumulated Other Comprehensive Income (Detail) (USD $) In Thousands, unless otherwise specified	3 Months Ended		6 Months Ended
	Jun. 30, 2013	Jun. 30, 2012	Jun. 30, 2013	Jun. 30, 2012
Accumulated Other Comprehensive Income Loss [Line Items]
Beginning balance (Restated)			$ 4,745
Unrealized gain on cross-currency swap, net of tax $56	222	(585)	(96)	(76)
Foreign currency translation adjustment	(741)	(2,827)	(3,449)	(956)
Ending balance	1,200		1,200
Foreign Currency Translation Adjustments [Member]
Accumulated Other Comprehensive Income Loss [Line Items]
Beginning balance (Restated)			4,614
Unrealized gain on cross-currency swap, net of tax $56
Foreign currency translation adjustment			(3,449)
Ending balance	1,165		1,165
Fair Value of Cross- Currency Swaps [Member]
Accumulated Other Comprehensive Income Loss [Line Items]
Beginning balance (Restated)			131
Unrealized gain on cross-currency swap, net of tax $56			(96)
Foreign currency translation adjustment
Ending balance	35		35
Accumulated Other Comprehensive Income (Loss) [Member]
Accumulated Other Comprehensive Income Loss [Line Items]
Beginning balance (Restated)			4,745
Unrealized gain on cross-currency swap, net of tax $56			(96)
Foreign currency translation adjustment			(3,449)
Ending balance	$ 1,200		$ 1,200

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Contingencies

6 Months Ended

Jun. 30, 2013

Commitments And Contingencies Disclosure [Abstract]

Contingencies

16. Contingencies

The Company is a party to certain outstanding legal proceedings, investigations and claims. These matters (including certain matters occurring in 2013) are described in the 2012 Form 10-K/A. There have been no material developments in these matters since the filing of the 2012 Form 10-K/A

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Inventories (Tables)

6 Months Ended

Jun. 30, 2013

Inventory Disclosure [Abstract]

Schedule of Inventories, Net of Reserves

Inventories, net of reserves, were as follows:

(US$ in thousands)	June 30, 2013		December 31, 2012
			(Restated)
Raw materials	$	8,639	$	7,623
Work-in-process		8,112		7,886
Finished products		38,342		28,308
Field inventory		24,815		22,629
Consignment inventory		5,955		6,155
Deferred cost of goods sold		9,078		10,772
Total Inventory	$	94,941	$	83,373

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Fair value measurements - Additional Information (Detail) (Maximum [Member])	6 Months Ended
	Jun. 30, 2013
Maximum [Member]
Financial Instruments And Fair Value Measurements [Line Items]
Cash Equivalents Original Maturity Period	90 days

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Inventories - Schedule of Inventories, Net of Reserves (Detail) (USD $) In Thousands, unless otherwise specified	Jun. 30, 2013	Dec. 31, 2012
Inventory Disclosure [Abstract]
Raw materials	$ 8,639	$ 7,623
Work-in-process	8,112	7,886
Finished products	38,342	28,308
Field inventory	24,815	22,629
Consignment inventory	5,955	6,155
Deferred cost of goods sold	9,078	10,772
Total Inventory	$ 94,941	$ 83,373

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Consolidated Statements of Cash Flows (USD $) In Thousands, unless otherwise specified	6 Months Ended
	Jun. 30, 2013	Jun. 30, 2012
Cash flows from operating activities:
Net income	$ 2,183	$ 16,661
Adjustments to reconcile net income to net cash provided by operating activities:
Depreciation and amortization	10,209	11,118
Amortization of debt costs	360	1,375
Provision for doubtful accounts	2,486	5,224
Deferred income taxes	222	(3,004)
Share-based compensation	3,437	2,738
Gain on sale of Breg, Inc.		(1,040)
Income tax benefit on employee stock-based awards	758
Excess income tax benefit on employee stock-based compensation	(82)	(1,156)
Other	2,296	(5,418)
Change in operating assets and liabilities, net of effect of disposition:
Trade accounts receivable	13,124	(11,482)
Inventories	(12,882)	2,270
Escrow receivable		41,537
Prepaid expenses and other current assets	9,343	1,934
Trade accounts payable	(3,452)	(5,367)
Charges related to U.S. Government resolutions		686
Other current liabilities	8,844	1,539
Long-term assets	(1,521)
Long-term liabilities	(1,164)	142
Net cash provided by operating activities	34,161	57,757
Cash flows from investing activities:
Capital expenditures for property, plant and equipment	(12,826)	(12,794)
Capital expenditures for intangible assets	(651)	(214)
Net proceeds from the sale of subsidiary		153,092
Net cash provided by (used in) investing activities	(13,477)	140,084
Cash flows from financing activities:
Net proceeds from issuance of common shares	2,188	13,340
Repayments of long-term debt		(168,695)
Repayment of bank borrowings, net	(16)	(831)
Changes in restricted cash	721	(25,831)
Repurchase of treasury shares	(26,868)
Excess income tax benefit on employee stock-based awards	82	1,156
Net cash used in financing activities	(23,893)	(180,861)
Effect of exchange rate changes on cash	(476)	(98)
Net (decrease) increase in cash and cash equivalents	(3,685)	16,882
Cash and cash equivalents at the beginning of the period	31,055	33,207
Cash and cash equivalents at the end of the period	$ 27,370	$ 50,089

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Goodwill

6 Months Ended

Jun. 30, 2013

Goodwill And Intangible Assets Disclosure [Abstract]

Goodwill

5. Goodwill

The following table presents the changes in the net carrying value of goodwill:

(US$ in thousands)	Total
At December 31, 2012	$	74,388
Foreign currency		(1,630	)
At June 30, 2013	$	72,758

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Share-based compensation - Additional Information (Detail)	6 Months Ended
	Jun. 30, 2013	Jun. 30, 2012
Disclosure Of Compensation Related Costs Sharebased Payments [Abstract]
Common stock issued under Employee Stock Purchase Plan (in shares)	143,444	218,324

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Patents and other intangible assets (Tables)

6 Months Ended

Jun. 30, 2013

Goodwill And Intangible Assets Disclosure [Abstract]

Schedule of Patents and Other Intangible Assets

(US$ in thousands)	June 30, 2013			December 31, 2012
				(Restated)
Cost
Patents	$	40,289		$	38,905
Trademarks — definite lived		627			657
		40,916			39,562
Accumulated amortization
Patents		(33,620	)		(31,845	)
Trademarks — definite lived		(439	)		(427	)
		(34,059	)		(32,272	)
Patents and other intangible assets, net	$	6,857		$	7,290

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Restatement of the Condensed Consolidated Financial Statements - Effects of Restatements on Consolidated Balance Sheet (Detail) (USD $) In Thousands, unless otherwise specified	Jun. 30, 2013	Dec. 31, 2012	Jun. 30, 2012	Dec. 31, 2011
Current assets:
Cash and cash equivalents	$ 27,370	$ 31,055	$ 50,089	$ 33,207
Restricted cash	20,601	21,314
Trade accounts receivable, less allowances of $13,543	90,828	107,312
Inventories	94,941	83,373
Deferred income taxes	33,664	33,450
Prepaid expenses and other current assets	28,993	34,079
Total current assets	296,397	310,583
Property, plant and equipment, net	55,166	53,835
Patents and other intangible assets, net	6,857	7,290
Goodwill	72,758	74,388
Deferred income taxes	19,205	18,881
Other long-term assets	9,067	7,920
Total assets	459,450	472,897
Current liabilities:
Trade accounts payable	18,894	22,575
Other current liabilities	52,679	39,610
Total current liabilities	71,573	62,185
Long-term debt	20,000	20,000
Deferred income taxes	12,326	11,456
Other long-term liabilities	10,324	11,424
Total liabilities	114,223	105,065
Contingencies (Note 16)
Shareholders' equity:
Common shares $0.10 par value; 50,000,000 shares authorized; 19,339,329 issued and outstanding	1,849	1,934
Additional paid-in capital	225,148	246,306
Retained earnings	117,030	114,847
Accumulated other comprehensive income	1,200	4,745
Total shareholders' equity	345,227	367,832
Total liabilities and shareholders' equity	459,450	472,897
Previously Reported [Member]
Current assets:
Cash and cash equivalents		31,055
Restricted cash		21,314
Trade accounts receivable, less allowances of $13,543		150,316
Inventories		88,744
Deferred income taxes		16,959
Prepaid expenses and other current assets		32,056
Total current assets		340,444
Property, plant and equipment, net		51,362
Patents and other intangible assets, net		6,880
Goodwill		74,388
Deferred income taxes		19,904
Other long-term assets		11,303
Total assets		504,281
Current liabilities:
Trade accounts payable		21,812
Other current liabilities		46,985
Total current liabilities		68,797
Long-term debt		20,000
Deferred income taxes		11,456
Other long-term liabilities		4,930
Total liabilities		105,183
Contingencies (Note 16)
Shareholders' equity:
Common shares $0.10 par value; 50,000,000 shares authorized; 19,339,329 issued and outstanding		1,934
Additional paid-in capital		246,111
Retained earnings		148,549
Accumulated other comprehensive income		2,504
Total shareholders' equity		399,098
Total liabilities and shareholders' equity		504,281
Adjustments [Member]
Current assets:
Cash and cash equivalents
Restricted cash
Trade accounts receivable, less allowances of $13,543		(43,004)
Inventories		(5,371)
Deferred income taxes		16,491
Prepaid expenses and other current assets		2,023
Total current assets		(29,861)
Property, plant and equipment, net		2,473
Patents and other intangible assets, net		410
Deferred income taxes		(1,023)
Other long-term assets		(3,383)
Total assets		(31,384)
Current liabilities:
Trade accounts payable		763
Other current liabilities		(7,375)
Total current liabilities		(6,612)
Other long-term liabilities		6,494
Total liabilities		(118)
Contingencies (Note 16)
Shareholders' equity:
Additional paid-in capital		195
Retained earnings		(33,702)
Accumulated other comprehensive income		2,241
Total shareholders' equity		(31,266)
Total liabilities and shareholders' equity		$ (31,384)

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Sale of Breg and Disposition of Sports Medicine GBU

6 Months Ended

Jun. 30, 2013

Discontinued Operations And Disposal Groups [Abstract]

Sale of Breg and Disposition of Sports Medicine GBU

15. Sale of Breg and Disposition of Sports Medicine GBU

On April 23, 2012, the Company’s subsidiary Orthofix Holdings and Breg entered into a stock purchase agreement (the “SPA”) with Breg Acquisition Corp. (“Buyer”), a newly formed affiliate of Water Street Healthcare Partners II, L.P., pursuant to which Buyer agreed to acquire from Orthofix Holdings all the outstanding shares of Breg, subject to the terms and conditions contained therein (the “Transaction”). Under the terms of the SPA, upon closing of the sale, Orthofix Holdings and the Company agreed to indemnify Buyer with respect to certain specified matters, including the government investigation and product liability matters regarding a previously owned infusion pump product line, pre-closing sales of cold therapy units and certain post-closing sales of cold therapy units. (See “Matters Related to the Company’s Former Breg Subsidiary and Possible Indemnification Obligations” under Note 17 to the Consolidated Financial Statements included in the 2012 Form 10-K/A.) On May 24, 2012 (the “Closing Date”), Orthofix Holdings completed the sale of all of the outstanding shares of Breg for $157.5 million in cash. After adjustments for working capital and indebtedness in accordance with the terms of the SPA, Orthofix Holdings used $145 million of the net proceeds to prepay outstanding Company indebtedness, as required by a lender consent received in connection with the Company’s existing Credit Agreement. As a result of the closing of this Transaction, Breg ceased to be a subsidiary of the Company and, therefore, Breg was released as a credit party under the Credit Agreement. The Company also agreed to enter into certain transition arrangements at the closing, including a transition services agreement pursuant to which the Company agreed to continue to provide administrative operational support for a period of up to twelve months. As a result of the sale of Breg, the Company completed its exit from the Sports Medicine GBU, of which Breg was a significant component.

The portion of indemnification related to post closing claims related to post-closing sales of cold therapy has created a guarantee under Accounting Standards Codification ASC 460, Guarantees, and the fair value of the liability has been recorded under the initial recognition criteria in the amount of $2 million at the Closing Date. The Company will amortize the fair value of the noncontingent liability ratably over the period of indemnification, which is three years. The Company’s obligations under this guarantee were approximately $1.3 million and $1.6 million as of June 30, 2013 and December 31, 2012, respectively.

Gain on Sale of Discontinued Operations

The following table presents the value of the asset disposition, proceeds received, net of various working capital adjustments and indebtedness and net gain on sale of Breg as shown in the condensed consolidated statement of operations for the year ended December 31, 2012.

(US$ in thousands)	Total
Cash proceeds	$	157,500
Less:
Working Capital		(7,093	)
Transaction related expenses		(4,276	)
Fair value of indemnification		(2,000	)
Tangible assets		(8,309	)
Intangible assets		(28,164	)
Goodwill		(106,200	)
Gain on sale of Breg before income taxes		1,458
Income tax expense		(113	)
Gain on sale of Breg, net of taxes	$	1,345

Included in discontinued operations for the three and six months ended June 30, 2013 is 8.8 million and $12.8 million, respectively, of expense related to the Company’s indemnification of certain specified matters described above.

The Company’s consolidated financial statements and related footnote disclosures reflect the Sports Medicine GBU as discontinued operations. Income (loss) associated with the Sports Medicine GBU, net of applicable income taxes is shown as income (loss) from discontinued operations for all periods presented in accordance with ASC 205-20, Discontinued Operations.