Condensed Consolidated Balance Sheets (USD $) In Thousands, unless otherwise specified	Sep. 30, 2012	Dec. 31, 2011
ASSETS
Cash and cash equivalents	$ 3,965	$ 4,663
Accounts receivable, net of allowances of $800 and $3,186	45,201	45,856
Prepaid expenses and other assets, net	3,438	3,948
Income taxes receivable	452	171
Inventories - current	71,288	61,724
Deferred tax assets - current	1,947	2,869
Total current assets	126,291	119,231
PROPERTY AND EQUIPMENT:
Land	2,209	2,209
Machinery and equipment	32,424	30,164
Surgical instruments	84,611	77,105
Furniture and fixtures	3,847	3,753
Facilities	18,008	17,930
Projects in process	1,778	2,141
Total property and equipment	142,877	133,302
Accumulated depreciation	(63,177)	(56,061)
Net property and equipment	79,700	77,241
OTHER ASSETS:
Deferred financing and deposits, net	893	1,016
Non-current inventories	8,328	7,334
Product licenses and designs, net	10,555	11,380
Patents and trademarks, net	2,139	1,589
Customer relationships, net	1,211	1,545
Goodwill	13,276	13,276
Total other assets	36,402	36,140
TOTAL ASSETS	242,393	232,612
LIABILITIES AND SHAREHOLDERS' EQUITY
Accounts payable	14,306	12,909
Income taxes payable	1,475	4,210
Accrued expenses and other liabilities	11,432	8,957
Other current liabilities	250	344
Current portion of long-term debt	2,625	648
Total current liabilities	30,088	27,068
LONG-TERM LIABILITIES:
Deferred tax liabilities	2,655	3,520
Line of credit	15,210	42,410
Long-term debt, net of current portion	27,000	3,507
Other long-term liabilities	1,130	780
Total long-term liabilities	45,995	50,217
Total liabilities	76,083	77,285
SHAREHOLDERS' EQUITY:
Common stock	133	132
Additional paid-in capital	63,564	60,565
Accumulated other comprehensive loss	(5,150)	(4,272)
Retained earnings	107,763	98,902
Total shareholders' equity	166,310	155,327
TOTAL LIABILITIES AND SHAREHOLDERS' EQUITY	$ 242,393	$ 232,612