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Revenues (Disaggregated Revenues) (Details) - USD ($) $ in Thousands | 3 Months Ended
--- | ---
Mar. 31, 2019 | Mar. 31, 2018
Disaggregation of Revenue [Line Items] |  |
Net Sales | $ 218,378 | $ 202,064
Goods transferred at a point in time |  |
Disaggregation of Revenue [Line Items] |  |
Net Sales | 209,164 | 193,672
Services transferred over time |  |
Disaggregation of Revenue [Line Items] |  |
Net Sales | 9,214 | 8,392
Orthopedic Surgery |  |
Disaggregation of Revenue [Line Items] |  |
Net Sales | 113,437 | 108,862
Orthopedic Surgery | Goods transferred at a point in time |  |
Disaggregation of Revenue [Line Items] |  |
Net Sales | 104,739 | 100,791
Orthopedic Surgery | Services transferred over time |  |
Disaggregation of Revenue [Line Items] |  |
Net Sales | 8,698 | 8,071
General Surgery |  |
Disaggregation of Revenue [Line Items] |  |
Net Sales | 104,941 | 93,202
General Surgery | Goods transferred at a point in time |  |
Disaggregation of Revenue [Line Items] |  |
Net Sales | 104,425 | 92,881
General Surgery | Services transferred over time |  |
Disaggregation of Revenue [Line Items] |  |
Net Sales | 516 | 321
United States |  |
Disaggregation of Revenue [Line Items] |  |
Net Sales | 117,026 | 106,251
United States | Orthopedic Surgery |  |
Disaggregation of Revenue [Line Items] |  |
Net Sales | 45,256 | 43,152
United States | General Surgery |  |
Disaggregation of Revenue [Line Items] |  |
Net Sales | 71,770 | 63,099
Americas (excluding the United States) |  |
Disaggregation of Revenue [Line Items] |  |
Net Sales | 22,504 | 24,450
Americas (excluding the United States) | Orthopedic Surgery |  |
Disaggregation of Revenue [Line Items] |  |
Net Sales | 15,042 | 16,771
Americas (excluding the United States) | General Surgery |  |
Disaggregation of Revenue [Line Items] |  |
Net Sales | 7,462 | 7,679
Europe, Middle East & Africa |  |
Disaggregation of Revenue [Line Items] |  |
Net Sales | 46,332 | 41,286
Europe, Middle East & Africa | Orthopedic Surgery |  |
Disaggregation of Revenue [Line Items] |  |
Net Sales | 30,402 | 28,302
Europe, Middle East & Africa | General Surgery |  |
Disaggregation of Revenue [Line Items] |  |
Net Sales | 15,930 | 12,984
Asia Pacific |  |
Disaggregation of Revenue [Line Items] |  |
Net Sales | 32,516 | 30,077
Asia Pacific | Orthopedic Surgery |  |
Disaggregation of Revenue [Line Items] |  |
Net Sales | 22,737 | 20,637
Asia Pacific | General Surgery |  |
Disaggregation of Revenue [Line Items] |  |
Net Sales | $ 9,779 | $ 9,440

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