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Business Segments and Geographic Areas (Tables) | 12 Months Ended
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Dec. 31, 2019
Segment Reporting [Abstract] |
Revenue from External Customers by Geographic Areas and Product Line | These product lines' net sales and primary geographic market where the products are sold, are as follows for the years ended December 31, 2019, 2018 and 2017:
| 2019
| Orthopedic Surgery |  | General Surgery |  | Total
Primary Geographic Markets |  |  |  |  |
United States | $ | 179,419 |  |  | $ | 337,246 |  |  | $ | 516,665 |
Americas (excluding the United States) | 64,269 |  |  | 31,004 |  |  | 95,273 |
Europe, Middle East & Africa | 118,301 |  |  | 64,248 |  |  | 182,549 |
Asia Pacific | 101,333 |  |  | 59,277 |  |  | 160,610 |
Total sales from contracts with customers | $ | 463,322 |  |  | $ | 491,775 |  |  | $ | 955,097 |
| 2018
| Orthopedic Surgery |  | General Surgery |  | Total
Primary Geographic Markets |  |  |  |  |
United States | $ | 172,462 |  |  | $ | 276,186 |  |  | $ | 448,648 |
Americas (excluding the United States) | 66,519 |  |  | 31,009 |  |  | 97,528 |
Europe, Middle East & Africa | 112,998 |  |  | 53,565 |  |  | 166,563 |
Asia Pacific | 94,749 |  |  | 52,146 |  |  | 146,895 |
Total sales from contracts with customers | $ | 446,728 |  |  | $ | 412,906 |  |  | $ | 859,634 |
| 2017
| Orthopedic Surgery |  | General Surgery |  | Total
Primary Geographic Markets |  |  |  |  |
United States | $ | 167,602 |  |  | $ | 243,439 |  |  | $ | 411,041 |
Americas (excluding the United States) | 60,439 |  |  | 30,730 |  |  | 91,169 |
Europe, Middle East & Africa | 106,921 |  |  | 48,928 |  |  | 155,849 |
Asia Pacific | 93,982 |  |  | 44,351 |  |  | 138,333 |
Total sales from contracts with customers | $ | 428,944 |  |  | $ | 367,448 |  |  | $ | 796,392 |

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