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Revenues (Disaggregated Revenues) (Details) - USD ($)
$ in Thousands
3 Months Ended 9 Months Ended
Sep. 30, 2022
Sep. 30, 2021
Sep. 30, 2022
Sep. 30, 2021
Disaggregation of Revenue [Line Items]        
Net Sales $ 275,088 $ 248,827 $ 794,605 $ 736,665
Goods transferred at a point in time        
Disaggregation of Revenue [Line Items]        
Net Sales 263,731 238,187 760,769 704,026
Services transferred over time        
Disaggregation of Revenue [Line Items]        
Net Sales 11,357 10,640 33,836 32,639
Orthopedic Surgery        
Disaggregation of Revenue [Line Items]        
Net Sales 118,618 105,751 346,317 320,809
Orthopedic Surgery | Goods transferred at a point in time        
Disaggregation of Revenue [Line Items]        
Net Sales 108,875 96,389 317,140 291,728
Orthopedic Surgery | Services transferred over time        
Disaggregation of Revenue [Line Items]        
Net Sales 9,743 9,362 29,177 29,081
General Surgery        
Disaggregation of Revenue [Line Items]        
Net Sales 156,470 143,076 448,288 415,856
General Surgery | Goods transferred at a point in time        
Disaggregation of Revenue [Line Items]        
Net Sales 154,856 141,798 443,629 412,298
General Surgery | Services transferred over time        
Disaggregation of Revenue [Line Items]        
Net Sales 1,614 1,278 4,659 3,558
United States        
Disaggregation of Revenue [Line Items]        
Net Sales 155,721 136,401 436,131 403,933
United States | Orthopedic Surgery        
Disaggregation of Revenue [Line Items]        
Net Sales 45,688 37,957 124,097 115,864
United States | General Surgery        
Disaggregation of Revenue [Line Items]        
Net Sales 110,033 98,444 312,034 288,069
Americas (excluding the United States)        
Disaggregation of Revenue [Line Items]        
Net Sales 26,688 24,736 80,714 71,497
Americas (excluding the United States) | Orthopedic Surgery        
Disaggregation of Revenue [Line Items]        
Net Sales 17,774 16,122 53,932 47,215
Americas (excluding the United States) | General Surgery        
Disaggregation of Revenue [Line Items]        
Net Sales 8,914 8,614 26,782 24,282
Europe, Middle East & Africa        
Disaggregation of Revenue [Line Items]        
Net Sales 47,214 44,060 152,048 135,921
Europe, Middle East & Africa | Orthopedic Surgery        
Disaggregation of Revenue [Line Items]        
Net Sales 26,914 24,155 88,955 77,327
Europe, Middle East & Africa | General Surgery        
Disaggregation of Revenue [Line Items]        
Net Sales 20,300 19,905 63,093 58,594
Asia Pacific        
Disaggregation of Revenue [Line Items]        
Net Sales 45,465 43,630 125,712 125,314
Asia Pacific | Orthopedic Surgery        
Disaggregation of Revenue [Line Items]        
Net Sales 28,242 27,517 79,333 80,403
Asia Pacific | General Surgery        
Disaggregation of Revenue [Line Items]        
Net Sales $ 17,223 $ 16,113 $ 46,379 $ 44,911