Business Segments (Tables)

9 Months Ended

Sep. 30, 2017

Segment Reporting [Abstract]

Schedule of net sales information by product line

These product lines' net sales are as follows:

	Three Months Ended September 30,				Nine Months Ended September 30,
	2017		2016		2017		2016
Orthopedic surgery	$	98,581	$	99,353	$	307,931	$	310,518
General surgery	91,536		85,439		265,906		248,908
Consolidated net sales	$	190,117	$	184,792	$	573,837	$	559,426