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Operations and Significant Accounting Policies (Details) - USD ($) $ in Thousands |  | 12 Months Ended
--- | --- | ---
Jan. 04, 2016 | Dec. 31, 2016 | Dec. 31, 2015 | Dec. 31, 2014
Goodwill and Intangible Asset Impairment [Abstract] |  |  |  |
Goodwill |  | $ 397,664 | $ 260,651 | $ 256,232
Other intangible assets, net |  | $ 419,549 | 308,171 |
Acquired Intangible Assets [Abstract] |  |  |  |
Weighted average amortization period (in years) |  | 25 years |  |
Revenue Recognition [Abstract] |  |  |  |
Net Commission Service Fee Revenue |  | 50.00% |  |
Shipping and handling costs |  | $ 13,400 | 12,600 | $ 13,600
Allowance for doubtful accounts |  | 2,031 | 1,336 |
Other Noncurrent Assets [Member] |  |  |  |
Other Assets, Noncurrent [Abstract] |  |  |  |
Field inventory |  | $ 44,800 | $ 33,500 |
Linvatec Corporation [Member] |  |  |  |
Acquired Intangible Assets [Abstract] |  |  |  |
Annual attrition rate used to evaluate acquired finite-lived intangible assets useful life |  | 2.60% |  |
SurgiQuestInc [Member] |  |  |  |
Goodwill and Intangible Asset Impairment [Abstract] |  |  |  |
Goodwill | $ 136,687 |  |  |
Acquired Intangible Assets [Abstract] |  |  |  |
Weighted average amortization period (in years) | 20 years |  |  |
Customer Relationships [Member] |  |  |  |
Acquired Intangible Assets [Abstract] |  |  |  |
Weighted average amortization period (in years) |  | 29 years |  |
Customer Relationships [Member] | Linvatec Corporation [Member] |  |  |  |
Acquired Intangible Assets [Abstract] |  |  |  |
Weighted average amortization period (in years) |  | 38 years |  |
Customer Relationships [Member] | Other Acquisitions Excluding Linvatec Corporation[Member] |  |  |  |
Acquired Intangible Assets [Abstract] |  |  |  |
Weighted average amortization period (in years) |  | 21 years |  |
Technology-Based Intangible Assets [Member] |  |  |  |
Acquired Intangible Assets [Abstract] |  |  |  |
Weighted average amortization period (in years) |  | 17 years |  |
Technology-Based Intangible Assets [Member] | SurgiQuestInc [Member] |  |  |  |
Acquired Intangible Assets [Abstract] |  |  |  |
Weighted average amortization period (in years) | 17 years |  |  |
Customer and Distributor Relationships [Member] | SurgiQuestInc [Member] |  |  |  |
Acquired Intangible Assets [Abstract] |  |  |  |
Weighted average amortization period (in years) | 22 years |  |  |
Promotional, Marketing and Distribution Rights [Member] |  |  |  |
Acquired Intangible Assets [Abstract] |  |  |  |
Weighted average amortization period (in years) |  | 25 years |  |

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