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Business Segments (Tables)
3 Months Ended
Mar. 31, 2019
Segment Reporting [Abstract]  
Schedule of net sales information by product line These product lines' net sales are as follows:
 
Three Months Ended March 31,
 
2019
 
2018
Orthopedic surgery
$
113,437

 
$
108,862

General surgery
104,941

 
93,202

Consolidated net sales
$
218,378

 
$
202,064