Revenues (Details) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2019	Dec. 31, 2018	Dec. 31, 2017
Disaggregation of Revenue [Line Items]
Net Sales	$ 955,097	$ 859,634	$ 796,392
Transferred at Point in Time [Member]
Disaggregation of Revenue [Line Items]
Net Sales	916,206	825,021	762,819
Transferred over Time [Member]
Disaggregation of Revenue [Line Items]
Net Sales	38,891	34,613	33,573
Orthopedic Surgery [Member]
Disaggregation of Revenue [Line Items]
Net Sales	463,322	446,728	428,944
Orthopedic Surgery [Member] | Transferred at Point in Time [Member]
Disaggregation of Revenue [Line Items]
Net Sales	426,893	413,630	396,147
Orthopedic Surgery [Member] | Transferred over Time [Member]
Disaggregation of Revenue [Line Items]
Net Sales	36,429	33,098	32,797
General Surgery [Member]
Disaggregation of Revenue [Line Items]
Net Sales	491,775	412,906	367,448
General Surgery [Member] | Transferred at Point in Time [Member]
Disaggregation of Revenue [Line Items]
Net Sales	489,313	411,391	366,672
General Surgery [Member] | Transferred over Time [Member]
Disaggregation of Revenue [Line Items]
Net Sales	$ 2,462	$ 1,515	$ 776