[GRAPHIC OMITTED][Orthofix Logo][GRAPHIC OMITTED]

      Contacts:
      Charles W. Federico                      Thomas Hein
      Group President & CEO                    CFO
      Orthofix International N.V.              Orthofix International N.V.
      704.948.2600                             704.948.2600

                 Orthofix Reports Record First-Quarter Revenues
                      of $70.7 Million, an Increase of 47%

HUNTERSVILLE,  N.C., April 30, 2004 - Orthofix  International N.V. (NASDAQ:OFIX)
today announced results for the first quarter ended March 31, 2004.

Sales for the first  quarter  ended  March 31,  2004,  were  $70.7  million,  an
increase of 47% compared with $48.2 million  reported  during the same period in
2003.  First-quarter  2004 sales included the incremental  impact of Breg, Inc.,
which was acquired on December 30, 2003. The impact of foreign currency on sales
for the first quarter of 2004 was a positive $2.4 million.

Net income for the first  quarter  ended March 31, 2004,  was $8.3  million,  or
$0.53 per diluted  share,  an increase of 40% compared  with $5.95  million,  or
$0.41 per diluted share,  reported  during the same period in 2003. In the first
quarter  ended March 31, 2004,  the Company  incurred $0.4 million in litigation
cost related to the KCI patent infringement case, compared with $0.9 million for
the same  period in 2003.  Diluted  weighted  average  shares  outstanding  were
15,745,473  and  14,499,614  during the three months  ended March 31, 2004,  and
March 31, 2003, respectively.

Net sales by geographic destination for the period ended March 31,
(In millions)



                         Three Months Ended March 31,
                     ---------------------------------------
                        2004        2003       % Increase
                     ----------  ----------  ---------------
Americas               $ 51.3      $ 31.2          64%


International          $ 19.4      $ 17.0          14%
                     ----------  ----------  ---------------

Total                  $ 70.7      $ 48.2          47%
                     ==========  ==========  ===============







Following the Breg  acquisition,  the Company  stated that it would classify net
sales by the market  sectors of "Spine",  "Reconstruction"  and "Trauma"  rather
than by product  groups.  Breg sales are all  reported  in the  "Reconstruction"
sector.

Net sales by market sector for the periods ended March 31,
(In millions)


                         Three Months Ended March 31,
                     ---------------------------------------
                        2004        2003       % Increase
                     ----------  ----------  ---------------
Orthopedic Products
   Spine               $ 19.6      $ 18.3           7%
   Reconstruction        29.7        12.4         140%
   Trauma                15.7        12.6          25%

                     ----------  ----------  ---------------

Total Orthopedic         65.0        43.3          50%

Non-Orthopedic            5.7         4.9          16%
                     ----------  ----------  ---------------

Total                  $ 70.7      $ 48.2          47%
                     ==========  ==========  ===============


Purchase  accounting  adjustments  from  the  Breg  acquisition  resulted  in  a
non-recurring, first-quarter charge to cost of sales of $0.5 million for step-up
in the value of acquired inventories. Other recurring purchase accounting items,
principally amortization of intangibles and depreciation of step-up in the value
of fixed assets acquired,  increased operating expenses for the first quarter of
2004.  Additional first quarter 2004 interest  expense reflects  principally the
cost of financing for the Breg acquisition.

In March, in order to focus its resources on the Breg  acquisition,  the Company
reduced its ownership participation in OrthoRx to approximately 21% and recorded
a gain by selling a portion of its shares in the joint  venture to its  partner,
Ferrer  Freedman  and  Co.,  and by not  participating  in a  further  round  of
financing.  Additionally,  as part of a plan to consolidate its U.K. facilities,
the  Company  sold its  interest  in a  facility  for a gain.  These  gains were
partially  offset by  exchange  losses and the  Company's  share of losses  from
OrthoRx  operations,  which taken  together  comprise other income for the first
quarter of 2004.  The first quarter 2004  effective tax rate was 30%,  which was
due in part to the  favorable  effect of the sale of OrthoRx  shares and reduced
spending on KCI litigation.




Charles W. Federico, President and Chief Executive Officer, stated, "Through the
first quarter,  our  acquisition of Breg is right on course,  and we are pleased
with their 14%  year-over-year  revenue growth and  contribution  to our overall
business. Our market sectors of Spine, Reconstruction, and Trauma also performed
well for the quarter.  We were  particularly  pleased with strong  growth in the
Trauma sector,  where both external  fixation and the  Physio-Stim for long bone
non-unions  demonstrated  excellent  year-over-year  growth,  together with good
early  success for our PC.C.P.  system.  We remain  positive  about our progress
toward FDA clearance of the new cervical  bone growth  stimulator.  Further,  we
were pleased to announce a  multi-year  contract  extension  to our  twelve-year
relationship with Kendall Healthcare for the AV Impulse system."

Orthofix International,  N.V., a diversified orthopedic products company, offers
a broad line of minimally invasive surgical,  as well as non-surgical,  products
for the spine,  reconstruction,  and trauma  market  sectors  that  address  the
lifelong  bone-and-joint  health  needs of  patients of all  ages--helping  them
achieve a more  active  and mobile  lifestyle.  Orthofix's  products  are widely
distributed around the world to orthopedic surgeons and patients--via Orthofix's
sales  representatives,  and via  partnerships  with  other  leading  orthopedic
product  companies,  such as Medtronic  Sofamor Danek,  Stryker  Howmedica,  and
Kendall Healthcare.  In addition,  Orthofix is collaborating in R&D partnerships
with leading medical  institutions  such as the Wake Forest University School of
Medicine, the Orthopedic Research and Education Foundation, the Cleveland Clinic
Foundation,  Innovative Spinal Technologies and National Osteoporosis Institute.
For more information about Orthofix, please visit www.orthofix.com.

FORWARD-LOOKING STATEMENTS

This  news  release  contains  certain  "forward-looking"  statements  under the
Private  Securities   Litigation  Reform  Act  of  1995.  These  forward-looking
statements, which may include, but are not limited to, statements concerning the
projections,  financial  condition,  results of  operations  and  businesses  of
Orthofix,  are based on  management's  current  expectations  and  estimates and
involve risks and  uncertainties  that could cause actual results or outcomes to
differ materially from those contemplated by the forward-looking statements.

Factors that could cause or contribute to such differences may include,  but are
not limited to, risks relating to the  integration of the businesses of Orthofix
and Breg,  unanticipated  expenditures,  the final  purchase  price  allocation,
changing  relationship with customers,  suppliers and strategic partners,  risks
relating  to  the   protection  of   intellectual   property,   changes  to  the
reimbursement policies of third parties,  changes to governmental  regulation of
medical devices,  the FDA's approval of new products,  the impact of competitive
products, changes to the competitive environment, the acceptance of new products
in the market,  conditions of the orthopedic  industry and the economy and other
factors  described  in the most  recent  report on Form 10-K and other  periodic
reports filed by Orthofix with the Securities and Exchange Commission.

                          - Financial tables follow -








ORTHOFIX INTERNATIONAL N.V.
CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS
(Unaudited, U.S. Dollars, in thousands, except per share and share data)



                                                 For the three months
                                                ----------------------
                                                   ended March 31,
                                                ----------------------
                                                   2004        2003
                                                ----------  ----------

Net sales                                       $   70,739  $   48,181
Cost of sales                                       19,546      12,585
                                                ----------  ----------
  Gross profit                                      51,193      35,596
                                                ----------  ----------

Operating expenses
  Sales and marketing                               26,136      17,600
  General and administrative                         7,247       4,982
  Research and development                           3,316       2,131
  Amortization                                       1,333         278
  Litigation and settlement costs                      372         862
                                                ----------  ----------
                                                    38,404      25,853
                                                ----------  ----------

Operating income                                    12,789       9,743

Interest income/(expense)                           (1,529)         57

Other income/(expense)                                 595        (383)
                                                ----------  ----------
  Income before income tax                          11,855       9,417

Income tax expense                                  (3,511)     (3,464)
                                                ----------  ----------
  Net income                                    $    8,344  $    5,953

  Net income per common share - basic           $     0.55  $     0.43

  Net income per common share - diluted         $     0.53  $     0.41

Weighted average number of common               15,039,870  13,704,052
  shares outstanding - basic

Weighted average number of common               15,745,473  14,499,614
  shares outstanding - diluted




ORTHOFIX INTERNATIONAL N.V.
CONDENSED CONSOLIDATED BALANCE SHEETS
(Unaudited, U.S. Dollars, in thousands)


                                                       As of          As of
                                                   ------------   -------------
                                                     March 31,      December 31,
                                                   ------------   -------------
                                                        2004           2003
                                                   ------------   -------------
Assets
Current assets:
  Cash and cash equivalents                        $  40,067      $  33,559
  Trade accounts receivable                           72,360         70,690
  Inventory                                           32,054         30,713
  Deferred income taxes                                3,978          3,978
  Prepaid expenses and other                          11,505          8,928
                                                   ---------      ---------
    Total current assets                             159,964        147,868

Securities and other investments                       4,881          5,775
Property, plant and equipment, net                    18,181         19,169
Intangible assets, net                               230,525        234,123
Other long-term assets                                 5,441          6,244
                                                   ---------      ---------
    Total assets                                   $ 418,992      $ 413,179
                                                   =========      =========

Liabilities and shareholders' equity
Current liabilities:
  Bank borrowings                                  $   1,547      $      72
  Current portion of long-term debt                   11,073         11,063
  Trade accounts payable                              10,793         11,569
  Other current liabilities                           26,233         30,236
                                                   ---------      ---------
    Total current liabilities                         49,646         52,940

Long-term debt                                        96,362         99,072
Deferred income taxes                                 16,160         16,642
Deferred income                                        2,500          2,500
Other long-term liabilities                              166            186
Deferred compensation                                  1,044          1,063
                                                   ---------      ---------
    Total liabilities                                165,878        172,403
                                                   ---------      ---------
Shareholders' equity
  Common shares                                        1,518          1,498
  Additional paid-in capital                          86,031         81,960
  Less: Treasury shares, at cost                          --             --
                                                   ---------      ---------
                                                      87,549         83,458
  Retained earnings                                  156,267        147,924
  Accumulated other comprehensive income               9,298          9,394
                                                   ---------      ---------
    Total shareholders' equity                       253,114        240,776
                                                   ---------      ---------
    Total liabilities and shareholders' equity     $ 418,992      $ 413,179
                                                   =========      =========




ORTHOFIX INTERNATIONAL N.V.
CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS
(Unaudited, U.S. Dollars, in thousands)

                                           For the three months ended March 31,
                                           -------------------------------------
                                                               2004        2003
                                                           ---------   ---------

Net cash provided by operating activities                  $  6,953    $ 11,309
                                                           ---------   ---------

Cash flows from investing activities:
    Investment in subsidiaries and affiliates                (1,105)    (22,071)
    Capital expenditure                                      (1,933)       (974)
    Other                                                     1,300        (300)
                                                           ---------   ---------
        Net cash used in investing activities                (1,738)    (23,345)
                                                           ---------   ---------

Cash flows from financing activities:
    Net (repayment) proceeds of loans and borrowings         (1,280)     (1,881)
    Proceeds from issuance of common stock                    3,034       8,385
    Acquisition of treasury shares                               --      (1,880)
    Payment of debt issuance costs                             (460)         --
                                                           ---------   ---------
        Net cash used in financing activities                 1,294       4,624
                                                           ---------   ---------

Effect of exchange rate changes on cash                          (1)        151
                                                           ---------   ---------

Net (decrease) increase in cash and cash equivalents          6,508      (7,261)
Cash and cash equivalents at the beginning of the period     33,559      48,813
                                                           ---------   ---------
Cash and cash equivalents at the end of the period         $ 40,067    $ 41,552
                                                           ---------   ---------