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Business Segments (Tables)
6 Months Ended
Jun. 30, 2018
Segment Reporting [Abstract]  
Schedule of net sales information by product line
These product lines' net sales are as follows:
 
Three Months Ended June 30,
 
Six Months Ended June 30,
 
2018
 
2017
 
2018
 
2017
Orthopedic surgery
$
110,131

 
$
105,561

 
$
218,994

 
$
209,350

General surgery
102,689

 
91,593

 
195,890

 
174,370

Consolidated net sales
$
212,820

 
$
197,154

 
$
414,884

 
$
383,720