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Business Segments and Geographic Areas (Tables) | 12 Months Ended
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Dec. 31, 2017
Segment Reporting [Abstract] |
Schedule of net sales information by product line and reportable segment |
| 2017 |  | 2016 |  | 2015
Orthopedic surgery | $ | 428,944 |  |  | $ | 422,103 |  |  | $ | 444,978 |
General surgery | 367,448 |  |  | 341,417 |  |  | 274,190 |
Consolidated net sales | $ | 796,392 |  |  | $ | 763,520 |  |  | $ | 719,168 |
Schedule of net sales information for geographic areas | Net sales information for geographic areas consists of the following:
| 2017 |  | 2016 |  | 2015
United States | $ | 411,041 |  |  | $ | 399,107 |  |  | $ | 361,452 |
Americas (excluding the United States) | 91,169 |  |  | 87,532 |  |  | 86,867 |
Europe, Middle East & Africa | 155,849 |  |  | 147,985 |  |  | 145,565 |
Asia Pacific | 138,333 |  |  | 128,896 |  |  | 125,284 |
Total | $ | 796,392 |  |  | $ | 763,520 |  |  | $ | 719,168 |

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- Definition Tabular disclosure of revenue from external customers by geographic areas attributed to the entity's country of domicile and to foreign countries from which the entity derives revenue. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 280 -SubTopic 10 -Section 50 -Paragraph 41 -Subparagraph a -URI http://asc.fasb.org/extlink&oid=68060357&loc=d3e9038-108599 + Details
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- Definition Tabular disclosure of entity-wide revenues from external customers for each product or service or each group of similar products or services if the information is not provided as part of the reportable operating segment information. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 280 -SubTopic 10 -Section 50 -Paragraph 40 -URI http://asc.fasb.org/extlink&oid=68060357&loc=d3e9031-108599 + Details
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