Revenues (Disaggregated Revenues) (Details) - USD ($) $ in Thousands	3 Months Ended
	Mar. 31, 2021	Mar. 31, 2020
Disaggregation of Revenue [Line Items]
Net Sales	$ 232,677	$ 214,010
Goods transferred at a point in time
Disaggregation of Revenue [Line Items]
Net Sales	222,084	204,454
Services transferred over time
Disaggregation of Revenue [Line Items]
Net Sales	10,593	9,556
Orthopedic Surgery
Disaggregation of Revenue [Line Items]
Net Sales	107,166	99,283
Orthopedic Surgery | Goods transferred at a point in time
Disaggregation of Revenue [Line Items]
Net Sales	97,690	90,553
Orthopedic Surgery | Services transferred over time
Disaggregation of Revenue [Line Items]
Net Sales	9,476	8,730
General Surgery
Disaggregation of Revenue [Line Items]
Net Sales	125,511	114,727
General Surgery | Goods transferred at a point in time
Disaggregation of Revenue [Line Items]
Net Sales	124,394	113,901
General Surgery | Services transferred over time
Disaggregation of Revenue [Line Items]
Net Sales	1,117	826
United States
Disaggregation of Revenue [Line Items]
Net Sales	123,943	118,847
United States | Orthopedic Surgery
Disaggregation of Revenue [Line Items]
Net Sales	37,131	37,039
United States | General Surgery
Disaggregation of Revenue [Line Items]
Net Sales	86,812	81,808
Americas (excluding the United States)
Disaggregation of Revenue [Line Items]
Net Sales	24,874	23,781
Americas (excluding the United States) | Orthopedic Surgery
Disaggregation of Revenue [Line Items]
Net Sales	17,381	15,802
Americas (excluding the United States) | General Surgery
Disaggregation of Revenue [Line Items]
Net Sales	7,493	7,979
Europe, Middle East & Africa
Disaggregation of Revenue [Line Items]
Net Sales	44,596	42,522
Europe, Middle East & Africa | Orthopedic Surgery
Disaggregation of Revenue [Line Items]
Net Sales	26,052	25,907
Europe, Middle East & Africa | General Surgery
Disaggregation of Revenue [Line Items]
Net Sales	18,544	16,615
Asia Pacific
Disaggregation of Revenue [Line Items]
Net Sales	39,264	28,860
Asia Pacific | Orthopedic Surgery
Disaggregation of Revenue [Line Items]
Net Sales	26,602	20,535
Asia Pacific | General Surgery
Disaggregation of Revenue [Line Items]
Net Sales	$ 12,662	$ 8,325