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Business Segment (Tables)
 9 Months Ended
Sep. 30, 2022
Segment Reporting [Abstract]  
Schedule of net sales information by product line These product lines' net sales are as follows:
Three Months Ended September 30,Nine Months Ended September 30,
 2022202120222021
Orthopedic surgery$118,618 $105,751 $346,317 $320,809 
General surgery156,470 143,076 448,288 415,856 
Consolidated net sales$275,088 $248,827 $794,605 $736,665