Business Segment (Details) - USD ($) $ in Thousands	3 Months Ended		9 Months Ended
	Sep. 30, 2022	Sep. 30, 2021	Sep. 30, 2022	Sep. 30, 2021
Segment Reporting Information [Line Items]
Net sales	$ 275,088	$ 248,827	$ 794,605	$ 736,665
Orthopedic Surgery
Segment Reporting Information [Line Items]
Net sales	118,618	105,751	346,317	320,809
General Surgery
Segment Reporting Information [Line Items]
Net sales	$ 156,470	$ 143,076	$ 448,288	$ 415,856