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Revenue recognition and accounts receivable (Tables) | 3 Months Ended
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Mar. 31, 2019
Revenue Recognition And Accounts Receivable [Abstract] |
Schedule of Net Sales by Major Product Category by Reporting Segment | The tables below present net sales by major product category by reporting segment:
|  | Three Months Ended March 31, |
(U.S. Dollars, in thousands) |  | 2019 |  |  | 2018 |  |  | Change |
Bone Growth Therapies |  | $ | 47,283 |  |  | $ | 46,163 |  |  |  | 2.4 | %
Spinal Implants |  |  | 22,903 |  |  |  | 20,707 |  |  |  | 10.6 | %
Biologics |  |  | 15,732 |  |  |  | 14,335 |  |  |  | 9.7 | %
Global Spine |  |  | 85,918 |  |  |  | 81,205 |  |  |  | 5.8 | %
Global Extremities |  |  | 23,194 |  |  |  | 27,504 |  |  |  | -15.7 | %
Net sales |  | $ | 109,112 |  |  | $ | 108,709 |  |  |  | 0.4 | %
Schedule of Net Sales | The table below presents net sales, which includes product sales and marketing service fees, for the three months ended March 31, 2019 and 2018.
|  | Three Months Ended March 31, |
(U.S. Dollars, in thousands) |  | 2019 |  |  | 2018 |
Product sales |  | $ | 93,934 |  |  | $ | 94,889 |
Marketing service fees |  |  | 15,178 |  |  |  | 13,820 |
Net sales |  | $ | 109,112 |  |  | $ | 108,709 |

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