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Business Segments and Geographic Areas (Details) $ in Thousands	3 Months Ended								12 Months Ended
	Dec. 31, 2015 USD ($)	Sep. 30, 2015 USD ($)	Jun. 30, 2015 USD ($)	Mar. 31, 2015 USD ($)	Dec. 31, 2014 USD ($)	Sep. 30, 2014 USD ($)	Jun. 30, 2014 USD ($)	Mar. 31, 2014 USD ($)	Dec. 31, 2015 USD ($) Customers	Dec. 31, 2014 USD ($) Customers	Dec. 31, 2013 USD ($) Customers
Segment Reporting Information [Line Items]
Net sales	$ 191,017	$ 169,184	$ 181,027	$ 177,940	$ 195,003	$ 174,961	$ 188,150	$ 181,941	$ 719,168	$ 740,055	$ 762,704
Number of customer representing over 10% of consolidated net sales | Customers									0	0	0
United States [Member]
Segment Reporting Information [Line Items]
Net sales									$ 361,452	$ 360,960	$ 375,473
Canada [Member]
Segment Reporting Information [Line Items]
Net sales									57,629	63,686	73,457
United Kingdom [Member]
Segment Reporting Information [Line Items]
Net sales									26,703	30,496	28,471
Japan [Member]
Segment Reporting Information [Line Items]
Net sales									37,809	37,230	36,705
Australia [Member]
Segment Reporting Information [Line Items]
Net sales									33,810	38,711	38,752
All other countires [Member]
Segment Reporting Information [Line Items]
Net sales									201,765	208,972	209,846
Orthopedic Surgery [Member]
Segment Reporting Information [Line Items]
Net sales									388,948	402,750	410,171
General Surgery [Member]
Segment Reporting Information [Line Items]
Net sales									274,190	279,356	286,747
Surgical Visualization [Member]
Segment Reporting Information [Line Items]
Net sales									$ 56,030	$ 57,949	$ 65,786

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Number of Customer Representing over Ten Percent of Consolidated Net Sales

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Total revenue from sale of goods and services rendered during the reporting period, in the normal course of business, reduced by sales returns and allowances, and sales discounts.

+ References

Reference 1: http://www.xbrl.org/2003/role/presentationRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 225
-SubTopic 10
-Section S99
-Paragraph 2
-Subparagraph (SX 210.5-03.1)
-URI http://asc.fasb.org/extlink&oid=26872669&loc=d3e20235-122688

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