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Revenues (Disaggregated Revenues) (Details) - USD ($)
$ in Thousands
3 Months Ended 6 Months Ended
Jun. 30, 2019
Jun. 30, 2018
Jun. 30, 2019
Jun. 30, 2018
Disaggregation of Revenue [Line Items]        
Net Sales $ 238,263 $ 212,820 $ 456,641 $ 414,884
Goods transferred at a point in time        
Disaggregation of Revenue [Line Items]        
Net Sales 228,699 203,986 437,862 397,659
Services transferred over time        
Disaggregation of Revenue [Line Items]        
Net Sales 9,564 8,834 18,779 17,225
Orthopedic Surgery        
Disaggregation of Revenue [Line Items]        
Net Sales 115,757 110,131 229,194 218,994
Orthopedic Surgery | Goods transferred at a point in time        
Disaggregation of Revenue [Line Items]        
Net Sales 106,772 101,663 211,511 202,455
Orthopedic Surgery | Services transferred over time        
Disaggregation of Revenue [Line Items]        
Net Sales 8,985 8,468 17,683 16,539
General Surgery        
Disaggregation of Revenue [Line Items]        
Net Sales 122,506 102,689 227,447 195,890
General Surgery | Goods transferred at a point in time        
Disaggregation of Revenue [Line Items]        
Net Sales 121,927 102,323 226,351 195,204
General Surgery | Services transferred over time        
Disaggregation of Revenue [Line Items]        
Net Sales 579 366 1,096 686
United States        
Disaggregation of Revenue [Line Items]        
Net Sales 128,936 109,656 245,961 215,907
United States | Orthopedic Surgery        
Disaggregation of Revenue [Line Items]        
Net Sales 43,335 41,057 88,590 84,209
United States | General Surgery        
Disaggregation of Revenue [Line Items]        
Net Sales 85,601 68,599 157,371 131,698
Americas (excluding the United States)        
Disaggregation of Revenue [Line Items]        
Net Sales 23,604 24,934 46,109 49,384
Americas (excluding the United States) | Orthopedic Surgery        
Disaggregation of Revenue [Line Items]        
Net Sales 15,781 16,586 30,823 33,357
Americas (excluding the United States) | General Surgery        
Disaggregation of Revenue [Line Items]        
Net Sales 7,823 8,348 15,286 16,027
Europe, Middle East & Africa        
Disaggregation of Revenue [Line Items]        
Net Sales 46,862 43,387 93,193 84,673
Europe, Middle East & Africa | Orthopedic Surgery        
Disaggregation of Revenue [Line Items]        
Net Sales 31,099 29,443 61,505 57,745
Europe, Middle East & Africa | General Surgery        
Disaggregation of Revenue [Line Items]        
Net Sales 15,763 13,944 31,688 26,928
Asia Pacific        
Disaggregation of Revenue [Line Items]        
Net Sales 38,861 34,843 71,378 64,920
Asia Pacific | Orthopedic Surgery        
Disaggregation of Revenue [Line Items]        
Net Sales 25,542 23,045 48,276 43,683
Asia Pacific | General Surgery        
Disaggregation of Revenue [Line Items]        
Net Sales $ 13,319 $ 11,798 $ 23,102 $ 21,237