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Business Segments (Details) - USD ($)
$ in Thousands
3 Months Ended 6 Months Ended
Jun. 30, 2016
Jun. 30, 2015
Jun. 30, 2016
Jun. 30, 2015
Segment Reporting Information [Line Items]        
Net sales $ 193,433 $ 181,027 $ 374,634 $ 358,967
Orthopedic Surgery [Member]        
Segment Reporting Information [Line Items]        
Net sales 92,742 96,801 186,183 195,398
General Surgery [Member]        
Segment Reporting Information [Line Items]        
Net sales 87,570 71,111 163,470 137,173
Surgical Visualization [Member]        
Segment Reporting Information [Line Items]        
Net sales $ 13,121 $ 13,115 $ 24,981 $ 26,396