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Business Segments (Tables)
6 Months Ended
Jun. 30, 2019
Segment Reporting [Abstract]  
Schedule of net sales information by product line These product lines' net sales are as follows:
 
Three Months Ended June 30,
 
Six Months Ended June 30,
 
2019
 
2018
 
2019
 
2018
Orthopedic surgery
$
115,757

 
$
110,131

 
$
229,194

 
$
218,994

General surgery
122,506

 
102,689

 
227,447

 
195,890

Consolidated net sales
$
238,263

 
$
212,820

 
$
456,641

 
$
414,884