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Business Segment (Details) - USD ($)
$ in Thousands
3 Months Ended 6 Months Ended
Jun. 30, 2020
Jun. 30, 2019
Jun. 30, 2020
Jun. 30, 2019
Segment Reporting Information [Line Items]        
Net sales $ 157,785 $ 238,263 $ 371,796 $ 456,641
Orthopedic Surgery        
Segment Reporting Information [Line Items]        
Net sales 60,483 115,757 159,766 229,194
General Surgery        
Segment Reporting Information [Line Items]        
Net sales $ 97,302 $ 122,506 $ 212,030 $ 227,447