Just spin. A good justification for the layoffs that have accompanied integration of their 10 (that's ten!) acquisitions since 2010 started. If you ever wondered which way MacMillan was inclined to spin it, just watch his numerous appearances on Fox Business.
As far as whether SYK is still a growth company, yes, though at much slower rates than the boom which accompanied the mass adoption of orthopedic implants. The attempt to increase this growth rate is why they've bought so many other companies.