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the market doesnt lie - when linvatec is half the cost of stryker yet they only have about 10% market share, what does that tell you?  it tells me customers would rather pay twice as much for a product they know is more reliable and for superior service.  its astounding how dominant stryker is in this market considering their competition tries to give product away at a much lower price point.  bottom line, like anything else for sale in life, you get what you pay for...