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Revenues (Disaggregated Revenues) (Details) - USD ($) $ in Thousands | 3 Months Ended | 6 Months Ended
--- | --- | ---
Jun. 30, 2018 | Jun. 30, 2017 | Jun. 30, 2018 | Jun. 30, 2017
Disaggregation of Revenue [Line Items] |  |  |  |
Net Sales | $ 212,820 | $ 197,154 | $ 414,884 | $ 383,720
Transferred at Point in Time [Member] |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Net Sales | 210,364 | 194,950 | 409,910 | 379,415
Transferred over Time [Member] |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Net Sales | 2,456 | 2,204 | 4,974 | 4,305
Orthopedic Surgery |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Net Sales | 110,131 | 105,561 | 218,994 | 209,350
Orthopedic Surgery | Transferred at Point in Time [Member] |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Net Sales | 108,041 | 103,528 | 214,706 | 205,332
Orthopedic Surgery | Transferred over Time [Member] |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Net Sales | 2,090 | 2,033 | 4,288 | 4,018
General Surgery |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Net Sales | 102,689 | 91,593 | 195,890 | 174,370
General Surgery | Transferred at Point in Time [Member] |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Net Sales | 102,323 | 91,422 | 195,204 | 174,083
General Surgery | Transferred over Time [Member] |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Net Sales | 366 | 171 | 686 | 287
UNITED STATES |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Net Sales | 109,656 | 100,010 | 215,907 | 199,437
UNITED STATES | Orthopedic Surgery |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Net Sales | 41,057 | 40,886 | 84,209 | 83,276
UNITED STATES | General Surgery |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Net Sales | 68,599 | 59,124 | 131,698 | 116,161
Americas (excluding the United States) [Member] |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Net Sales | 24,934 | 22,628 | 49,384 | 43,067
Americas (excluding the United States) [Member] | Orthopedic Surgery |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Net Sales | 16,586 | 14,491 | 33,357 | 28,109
Americas (excluding the United States) [Member] | General Surgery |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Net Sales | 8,348 | 8,137 | 16,027 | 14,958
EMEA [Member] |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Net Sales | 43,387 | 40,339 | 84,673 | 78,779
EMEA [Member] | Orthopedic Surgery |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Net Sales | 29,443 | 27,500 | 57,745 | 54,151
EMEA [Member] | General Surgery |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Net Sales | 13,944 | 12,839 | 26,928 | 24,628
Asia Pacific [Member] |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Net Sales | 34,843 | 34,177 | 64,920 | 62,437
Asia Pacific [Member] | Orthopedic Surgery |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Net Sales | 23,045 | 22,684 | 43,683 | 43,814
Asia Pacific [Member] | General Surgery |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Net Sales | $ 11,798 | $ 11,493 | $ 21,237 | $ 18,623

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