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Revenues (Disaggregated Revenues) (Details) - USD ($) $ in Thousands	3 Months Ended		9 Months Ended
	Sep. 30, 2018	Sep. 30, 2017	Sep. 30, 2018	Sep. 30, 2017
Disaggregation of Revenue [Line Items]
Net Sales	$ 202,307	$ 190,117	$ 617,191	$ 573,837
Transferred at Point in Time [Member]
Disaggregation of Revenue [Line Items]
Net Sales	193,632	182,354	591,292	549,119
Transferred over Time [Member]
Disaggregation of Revenue [Line Items]
Net Sales	8,675	7,763	25,899	24,718
Orthopedic Surgery
Disaggregation of Revenue [Line Items]
Net Sales	102,929	98,581	321,923	307,931
Orthopedic Surgery | Transferred at Point in Time [Member]
Disaggregation of Revenue [Line Items]
Net Sales	94,640	91,047	297,096	283,728
Orthopedic Surgery | Transferred over Time [Member]
Disaggregation of Revenue [Line Items]
Net Sales	8,289	7,534	24,827	24,203
General Surgery
Disaggregation of Revenue [Line Items]
Net Sales	99,378	91,536	295,268	265,906
General Surgery | Transferred at Point in Time [Member]
Disaggregation of Revenue [Line Items]
Net Sales	98,992	91,307	294,196	265,391
General Surgery | Transferred over Time [Member]
Disaggregation of Revenue [Line Items]
Net Sales	386	229	1,072	515
UNITED STATES
Disaggregation of Revenue [Line Items]
Net Sales	107,529	98,304	323,435	297,741
UNITED STATES | Orthopedic Surgery
Disaggregation of Revenue [Line Items]
Net Sales	39,574	38,044	123,782	121,320
UNITED STATES | General Surgery
Disaggregation of Revenue [Line Items]
Net Sales	67,955	60,260	199,653	176,421
Americas (excluding the United States) [Member]
Disaggregation of Revenue [Line Items]
Net Sales	22,296	23,092	71,681	66,158
Americas (excluding the United States) [Member] | Orthopedic Surgery
Disaggregation of Revenue [Line Items]
Net Sales	14,949	15,147	48,307	43,256
Americas (excluding the United States) [Member] | General Surgery
Disaggregation of Revenue [Line Items]
Net Sales	7,347	7,945	23,374	22,902
EMEA [Member]
Disaggregation of Revenue [Line Items]
Net Sales	34,698	33,650	119,371	112,429
EMEA [Member] | Orthopedic Surgery
Disaggregation of Revenue [Line Items]
Net Sales	23,206	22,623	80,951	76,774
EMEA [Member] | General Surgery
Disaggregation of Revenue [Line Items]
Net Sales	11,492	11,027	38,420	35,655
Asia Pacific [Member]
Disaggregation of Revenue [Line Items]
Net Sales	37,784	35,071	102,704	97,509
Asia Pacific [Member] | Orthopedic Surgery
Disaggregation of Revenue [Line Items]
Net Sales	25,200	22,767	68,883	66,581
Asia Pacific [Member] | General Surgery
Disaggregation of Revenue [Line Items]
Net Sales	$ 12,584	$ 12,304	$ 33,821	$ 30,928

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Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 606
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-Section 50
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-Name Accounting Standards Codification
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