Exhibit 32.2

                           SECTION 1350 CERTIFICATION


                  In connection with the Annual Report of Orthofix International
N.V. ("Orthofix") on Form 10-K for the fiscal year ended December 31, 2003 (the
"Annual Report"), as filed with the Securities and Exchange Commission on the
date hereof, I, Thomas Hein, Chief Financial Officer of Orthofix, certify,
pursuant to 18 U.S.C. Section 1350, that to the best of my knowledge:

          1.   The Annual 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 Annual Report fairly presents,
in all material respects, the financial condition and results of operations of
Orthofix.


Dated:   March 12, 2004                     /s/ THOMAS HEIN
                                         ---------------------------------
                                         Name:  Thomas Hein
                                         Title: Chief Financial Officer