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Business Segments (Details) - USD ($)
$ in Thousands
3 Months Ended 9 Months Ended
Sep. 30, 2016
Sep. 30, 2015
Sep. 30, 2016
Sep. 30, 2015
Segment Reporting Information [Line Items]        
Net sales $ 184,792 $ 169,184 $ 559,426 $ 528,151
Orthopedic Surgery [Member]        
Segment Reporting Information [Line Items]        
Net sales 86,262 89,382 272,445 284,781
General Surgery [Member]        
Segment Reporting Information [Line Items]        
Net sales 85,439 66,123 248,908 203,295
Surgical Visualization [Member]        
Segment Reporting Information [Line Items]        
Net sales $ 13,091 $ 13,679 $ 38,073 $ 40,075