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Business Segment (Details) - USD ($)
$ in Thousands
3 Months Ended
Mar. 31, 2022
Mar. 31, 2021
Segment Reporting Information [Line Items]    
Net sales $ 242,327 $ 232,677
Orthopedic Surgery    
Segment Reporting Information [Line Items]    
Net sales 107,517 107,166
General Surgery    
Segment Reporting Information [Line Items]    
Net sales $ 134,810 $ 125,511