Business Segments and Geographic Areas (Tables)

12 Months Ended

Dec. 31, 2019

Segment Reporting [Abstract]

Revenue from External Customers by Geographic Areas and Product Line

These product lines' net sales and primary geographic market where the products are sold, are as follows for the years ended December 31, 2019, 2018 and 2017:

	2019
	Orthopedic Surgery		General Surgery		Total
Primary Geographic Markets
United States	$	179,419	$	337,246	$	516,665
Americas (excluding the United States)	64,269		31,004		95,273
Europe, Middle East & Africa	118,301		64,248		182,549
Asia Pacific	101,333		59,277		160,610
Total sales from contracts with customers	$	463,322	$	491,775	$	955,097

	2018
	Orthopedic Surgery		General Surgery		Total
Primary Geographic Markets
United States	$	172,462	$	276,186	$	448,648
Americas (excluding the United States)	66,519		31,009		97,528
Europe, Middle East & Africa	112,998		53,565		166,563
Asia Pacific	94,749		52,146		146,895
Total sales from contracts with customers	$	446,728	$	412,906	$	859,634

	2017
	Orthopedic Surgery		General Surgery		Total
Primary Geographic Markets
United States	$	167,602	$	243,439	$	411,041
Americas (excluding the United States)	60,439		30,730		91,169
Europe, Middle East & Africa	106,921		48,928		155,849
Asia Pacific	93,982		44,351		138,333
Total sales from contracts with customers	$	428,944	$	367,448	$	796,392