Business Segment (Details) - USD ($) $ in Thousands	3 Months Ended
Mar. 31, 2021	Mar. 31, 2020
Segment Reporting Information [Line Items]
Net sales	$ 232,677	$ 214,010
Orthopedic Surgery
Segment Reporting Information [Line Items]
Net sales	107,166	99,283
General Surgery
Segment Reporting Information [Line Items]
Net sales	$ 125,511	$ 114,727

Amount of revenue recognized from goods sold, services rendered, insurance premiums, or other activities that constitute an earning process. Includes, but is not limited to, investment and interest income before deduction of interest expense when recognized as a component of revenue, and sales and trading gain (loss).

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+ Details