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Revenues (Disaggregated Revenues) (Details) - USD ($) $ in Thousands	3 Months Ended		9 Months Ended
	Sep. 30, 2019	Sep. 30, 2018	Sep. 30, 2019	Sep. 30, 2018
Disaggregation of Revenue [Line Items]
Net Sales	$ 233,590	$ 202,307	$ 690,232	$ 617,191
Goods transferred at a point in time
Disaggregation of Revenue [Line Items]
Net Sales	224,074	193,632	661,936	591,292
Services transferred over time
Disaggregation of Revenue [Line Items]
Net Sales	9,516	8,675	28,296	25,899
Orthopedic Surgery
Disaggregation of Revenue [Line Items]
Net Sales	110,328	102,929	339,522	321,923
Orthopedic Surgery | Goods transferred at a point in time
Disaggregation of Revenue [Line Items]
Net Sales	101,454	94,640	312,964	297,096
Orthopedic Surgery | Services transferred over time
Disaggregation of Revenue [Line Items]
Net Sales	8,874	8,289	26,558	24,827
General Surgery
Disaggregation of Revenue [Line Items]
Net Sales	123,262	99,378	350,710	295,268
General Surgery | Goods transferred at a point in time
Disaggregation of Revenue [Line Items]
Net Sales	122,620	98,992	348,972	294,196
General Surgery | Services transferred over time
Disaggregation of Revenue [Line Items]
Net Sales	642	386	1,738	1,072
United States
Disaggregation of Revenue [Line Items]
Net Sales	128,182	107,529	374,143	323,435
United States | Orthopedic Surgery
Disaggregation of Revenue [Line Items]
Net Sales	42,530	39,574	131,120	123,782
United States | General Surgery
Disaggregation of Revenue [Line Items]
Net Sales	85,652	67,955	243,023	199,653
Americas (excluding the United States)
Disaggregation of Revenue [Line Items]
Net Sales	24,425	22,296	70,534	71,681
Americas (excluding the United States) | Orthopedic Surgery
Disaggregation of Revenue [Line Items]
Net Sales	17,069	14,949	47,890	48,307
Americas (excluding the United States) | General Surgery
Disaggregation of Revenue [Line Items]
Net Sales	7,356	7,347	22,644	23,374
Europe, Middle East & Africa
Disaggregation of Revenue [Line Items]
Net Sales	38,831	34,698	132,025	119,371
Europe, Middle East & Africa | Orthopedic Surgery
Disaggregation of Revenue [Line Items]
Net Sales	24,692	23,206	86,199	80,951
Europe, Middle East & Africa | General Surgery
Disaggregation of Revenue [Line Items]
Net Sales	14,139	11,492	45,826	38,420
Asia Pacific
Disaggregation of Revenue [Line Items]
Net Sales	42,152	37,784	113,530	102,704
Asia Pacific | Orthopedic Surgery
Disaggregation of Revenue [Line Items]
Net Sales	26,037	25,200	74,313	68,883
Asia Pacific | General Surgery
Disaggregation of Revenue [Line Items]
Net Sales	$ 16,115	$ 12,584	$ 39,217	$ 33,821

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+ References

Reference 1: http://www.xbrl.org/2003/role/disclosureRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 606
-SubTopic 10
-Section 50
-Paragraph 4
-Subparagraph (a)
-URI http://asc.fasb.org/extlink&oid=118956577&loc=SL49130543-203045

Reference 2: http://www.xbrl.org/2003/role/disclosureRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 606
-SubTopic 10
-Section 50
-Paragraph 5
-URI http://asc.fasb.org/extlink&oid=118956577&loc=SL49130545-203045

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