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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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+ References

Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 606
-SubTopic 10
-Section 50
-Paragraph 4
-Subparagraph (a)
-URI http://asc.fasb.org/extlink&oid=109196051&loc=SL49130543-203045

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-Publisher FASB
-Name Accounting Standards Codification
-Topic 606
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-Paragraph 1
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Reference 3: http://fasb.org/us-gaap/role/ref/legacyRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 606
-SubTopic 10
-Section 50
-Paragraph 5
-URI http://asc.fasb.org/extlink&oid=109196051&loc=SL49130545-203045

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