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Revenues (Disaggregated Revenues) (Details) - USD ($) $ in Thousands | 3 Months Ended
--- | ---
Mar. 31, 2020 | Mar. 31, 2019
Disaggregation of Revenue [Line Items] |  |
Net Sales | $ 214,010 | $ 218,378
Goods transferred at a point in time |  |
Disaggregation of Revenue [Line Items] |  |
Net Sales | 204,454 | 209,164
Services transferred over time |  |
Disaggregation of Revenue [Line Items] |  |
Net Sales | 9,556 | 9,214
Orthopedic Surgery |  |
Disaggregation of Revenue [Line Items] |  |
Net Sales | 99,283 | 113,437
Orthopedic Surgery | Goods transferred at a point in time |  |
Disaggregation of Revenue [Line Items] |  |
Net Sales | 90,553 | 104,739
Orthopedic Surgery | Services transferred over time |  |
Disaggregation of Revenue [Line Items] |  |
Net Sales | 8,730 | 8,698
General Surgery |  |
Disaggregation of Revenue [Line Items] |  |
Net Sales | 114,727 | 104,941
General Surgery | Goods transferred at a point in time |  |
Disaggregation of Revenue [Line Items] |  |
Net Sales | 113,901 | 104,425
General Surgery | Services transferred over time |  |
Disaggregation of Revenue [Line Items] |  |
Net Sales | 826 | 516
United States |  |
Disaggregation of Revenue [Line Items] |  |
Net Sales | 118,847 | 117,026
United States | Orthopedic Surgery |  |
Disaggregation of Revenue [Line Items] |  |
Net Sales | 37,039 | 45,256
United States | General Surgery |  |
Disaggregation of Revenue [Line Items] |  |
Net Sales | 81,808 | 71,770
Americas (excluding the United States) |  |
Disaggregation of Revenue [Line Items] |  |
Net Sales | 23,781 | 22,504
Americas (excluding the United States) | Orthopedic Surgery |  |
Disaggregation of Revenue [Line Items] |  |
Net Sales | 15,802 | 15,042
Americas (excluding the United States) | General Surgery |  |
Disaggregation of Revenue [Line Items] |  |
Net Sales | 7,979 | 7,462
Europe, Middle East & Africa |  |
Disaggregation of Revenue [Line Items] |  |
Net Sales | 42,522 | 46,332
Europe, Middle East & Africa | Orthopedic Surgery |  |
Disaggregation of Revenue [Line Items] |  |
Net Sales | 25,907 | 30,402
Europe, Middle East & Africa | General Surgery |  |
Disaggregation of Revenue [Line Items] |  |
Net Sales | 16,615 | 15,930
Asia Pacific |  |
Disaggregation of Revenue [Line Items] |  |
Net Sales | 28,860 | 32,516
Asia Pacific | Orthopedic Surgery |  |
Disaggregation of Revenue [Line Items] |  |
Net Sales | 20,535 | 22,737
Asia Pacific | General Surgery |  |
Disaggregation of Revenue [Line Items] |  |
Net Sales | $ 8,325 | $ 9,779

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