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Business Segments (Tables)
9 Months Ended
Sep. 30, 2019
Segment Reporting [Abstract]  
Schedule of net sales information by product line These product lines' net sales are as follows:
 
Three Months Ended September 30,
 
Nine Months Ended September 30,
 
2019
 
2018
 
2019
 
2018
Orthopedic surgery
$
110,328

 
$
102,929

 
$
339,522

 
$
321,923

General surgery
123,262

 
99,378

 
350,710

 
295,268

Consolidated net sales
$
233,590

 
$
202,307

 
$
690,232

 
$
617,191