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Revenues (Disaggregated Revenues) (Details) - USD ($)
$ in Thousands
3 Months Ended 6 Months Ended
Jun. 30, 2022
Jun. 30, 2021
Jun. 30, 2022
Jun. 30, 2021
Disaggregation of Revenue [Line Items]        
Net Sales $ 277,190 $ 255,161 $ 519,516 $ 487,837
Goods transferred at a point in time        
Disaggregation of Revenue [Line Items]        
Net Sales 265,511 243,754 497,037 465,838
Services transferred over time        
Disaggregation of Revenue [Line Items]        
Net Sales 11,679 11,407 22,479 21,999
Orthopedic Surgery        
Disaggregation of Revenue [Line Items]        
Net Sales 120,182 107,893 227,698 215,058
Orthopedic Surgery | Goods transferred at a point in time        
Disaggregation of Revenue [Line Items]        
Net Sales 110,060 97,649 208,264 195,339
Orthopedic Surgery | Services transferred over time        
Disaggregation of Revenue [Line Items]        
Net Sales 10,122 10,244 19,434 19,719
General Surgery        
Disaggregation of Revenue [Line Items]        
Net Sales 157,008 147,268 291,818 272,779
General Surgery | Goods transferred at a point in time        
Disaggregation of Revenue [Line Items]        
Net Sales 155,451 146,105 288,773 270,499
General Surgery | Services transferred over time        
Disaggregation of Revenue [Line Items]        
Net Sales 1,557 1,163 3,045 2,280
United States        
Disaggregation of Revenue [Line Items]        
Net Sales 149,182 143,590 280,409 267,532
United States | Orthopedic Surgery        
Disaggregation of Revenue [Line Items]        
Net Sales 40,461 40,777 78,408 77,907
United States | General Surgery        
Disaggregation of Revenue [Line Items]        
Net Sales 108,721 102,813 202,001 189,625
Americas (excluding the United States)        
Disaggregation of Revenue [Line Items]        
Net Sales 29,605 21,888 54,026 46,761
Americas (excluding the United States) | Orthopedic Surgery        
Disaggregation of Revenue [Line Items]        
Net Sales 19,987 13,712 36,158 31,093
Americas (excluding the United States) | General Surgery        
Disaggregation of Revenue [Line Items]        
Net Sales 9,618 8,176 17,868 15,668
Europe, Middle East & Africa        
Disaggregation of Revenue [Line Items]        
Net Sales 54,528 47,263 104,835 91,860
Europe, Middle East & Africa | Orthopedic Surgery        
Disaggregation of Revenue [Line Items]        
Net Sales 32,060 27,120 62,041 53,172
Europe, Middle East & Africa | General Surgery        
Disaggregation of Revenue [Line Items]        
Net Sales 22,468 20,143 42,794 38,688
Asia Pacific        
Disaggregation of Revenue [Line Items]        
Net Sales 43,875 42,420 80,246 81,684
Asia Pacific | Orthopedic Surgery        
Disaggregation of Revenue [Line Items]        
Net Sales 27,674 26,284 51,091 52,886
Asia Pacific | General Surgery        
Disaggregation of Revenue [Line Items]        
Net Sales $ 16,201 $ 16,136 $ 29,155 $ 28,798