Condensed Consolidated Balance Sheets (USD $) In Thousands, unless otherwise specified	Mar. 31, 2014	Dec. 31, 2013
ASSETS
Cash and cash equivalents	$ 11,279	$ 6,011
Accounts receivable, net of allowances of $918 and $993	47,520	59,109
Prepaid expenses and other assets, net	4,028	2,865
Income taxes receivable	216	1,331
Inventories - current	72,205	71,590
Deferred tax assets - current	1,694	1,653
Total current assets	136,942	142,559
PROPERTY AND EQUIPMENT:
Land	2,215	2,215
Machinery and equipment	35,560	35,439
Surgical instruments	98,959	95,902
Furniture and fixtures	4,551	4,200
Facilities	19,193	19,187
Projects in process	753	852
Total property and equipment	161,231	157,795
Accumulated depreciation	(80,146)	(76,127)
Net property and equipment	81,085	81,668
OTHER ASSETS:
Deferred financing and deposits, net	969	870
Non-current inventories	11,624	11,100
Product licenses and designs, net	9,134	9,457
Patents and trademarks, net	1,928	2,005
Customer relationships, net	555	669
Goodwill	13,514	13,514
Total other assets	37,724	37,615
TOTAL ASSETS	255,751	261,842
LIABILITIES AND SHAREHOLDERS' EQUITY
Accounts payable	16,384	16,254
Income taxes payable	1,037	39
Accrued expenses and other liabilities	9,946	10,974
Other current liabilities	250	250
Current portion of long-term debt	3,000	3,000
Total current liabilities	30,617	30,517
LONG-TERM LIABILITIES:
Deferred tax liabilities	3,839	4,200
Line of credit	0	10,732
Long-term debt, net of current portion	22,500	23,250
Other long-term liabilities	601	719
Total long-term liabilities	26,940	38,901
Total liabilities	57,557	69,418
SHAREHOLDERS' EQUITY:
Common stock	136	136
Additional paid-in capital	70,979	69,175
Accumulated other comprehensive loss	(4,134)	(3,902)
Retained earnings	131,213	127,015
Total shareholders' equity	198,194	192,424
TOTAL LIABILITIES AND SHAREHOLDERS' EQUITY	$ 255,751	$ 261,842