Revenue increased 1% to $2.1 billion, but without currency fluctuations and acquisitions, revenue was up 2.5%. U.S. sales grew 4.7%, compared with a 5.6% decline internationally. Stryker and other orthopedics companies have suffered from a weak economy that has led patients to put off elective surgeries, such as knee replacements. Some analysts, though, have pointed recently to signs of a strengthening domestic market for joint-reconstruction products. Stryker's flagship joint reconstruction business declined by 1%, as international sales in hips and knees declined by 9.6% and 4.3%, respectively. The U.S. market was better, with the overall unit growing by a total of 5.3% in the quarter. The company's medical and surgical equipment division, known as MedSurg, rose 1.7% to$781 million, and was hurt by $8 million in lost revenue due to the recall of the company's Neptune Rover Waste Management System. The recall will cost the company $16 million in revenue in the fourth quarter.