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Business Segments and Geographic Areas (Tables) | 12 Months Ended
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Dec. 31, 2018
Segment Reporting [Abstract] |
Revenue from External Customers by Geographic Areas and Product Line | These product lines' net sales and primary geographic market where the products are sold, are as follows for the years ended December 31, 2018, 2017 and 2016:
| 2018
| Orthopedic Surgery |  | General Surgery |  | Total
Primary Geographic Markets |  |  |  |  |
United States | $ | 172,462 |  |  | $ | 276,186 |  |  | $ | 448,648 |
Americas (excluding the United States) | 66,519 |  |  | 31,009 |  |  | 97,528 |
Europe, Middle East & Africa | 112,998 |  |  | 53,565 |  |  | 166,563 |
Asia Pacific | 94,749 |  |  | 52,146 |  |  | 146,895 |
Total sales from contracts with customers | $ | 446,728 |  |  | $ | 412,906 |  |  | $ | 859,634 |
| 2017
| Orthopedic Surgery |  | General Surgery |  | Total
Primary Geographic Markets |  |  |  |  |
United States | $ | 167,602 |  |  | $ | 243,439 |  |  | $ | 411,041 |
Americas (excluding the United States) | 60,439 |  |  | 30,730 |  |  | 91,169 |
Europe, Middle East & Africa | 106,921 |  |  | 48,928 |  |  | 155,849 |
Asia Pacific | 93,982 |  |  | 44,351 |  |  | 138,333 |
Total sales from contracts with customers | $ | 428,944 |  |  | $ | 367,448 |  |  | $ | 796,392 |
| 2016
| Orthopedic Surgery |  | General Surgery |  | Total
Primary Geographic Markets |  |  |  |  |
United States | $ | 171,158 |  |  | $ | 227,949 |  |  | $ | 399,107 |
Americas (excluding the United States) | 56,773 |  |  | 30,759 |  |  | 87,532 |
Europe, Middle East & Africa | 103,709 |  |  | 44,276 |  |  | 147,985 |
Asia Pacific | 90,463 |  |  | 38,433 |  |  | 128,896 |
Total sales from contracts with customers | $ | 422,103 |  |  | $ | 341,417 |  |  | $ | 763,520 |

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