Business Segments and Geographic Areas (Tables)

12 Months Ended

Dec. 31, 2022

Segment Reporting [Abstract]

Revenue from External Customers by Geographic Areas and Product Line

These product lines' net sales and primary geographic market where the products are sold, are as follows for the years ended December 31, 2022, 2021 and 2020:

	2022
	Orthopedic Surgery		General Surgery		Total
Primary Geographic Markets
United States	$	173,176	$	405,777	$	578,953
Europe, Middle East & Africa	113,649		84,288		197,937
Asia Pacific	103,353		59,124		162,477
Americas (excluding the United States)	71,350		34,755		106,105
Total sales from contracts with customers	$	461,528	$	583,944	$	1,045,472

	2021
	Orthopedic Surgery		General Surgery		Total
Primary Geographic Markets
United States	$	158,553	$	393,980	$	552,533
Europe, Middle East & Africa	108,457		81,238		189,695
Asia Pacific	107,590		63,628		171,218
Americas (excluding the United States)	63,824		33,365		97,189
Total sales from contracts with customers	$	438,424	$	572,211	$	1,010,635

	2020
	Orthopedic Surgery		General Surgery		Total
Primary Geographic Markets
United States	$	139,715	$	342,349	$	482,064
Europe, Middle East & Africa	90,998		70,086		161,084
Asia Pacific	93,636		46,961		140,597
Americas (excluding the United States)	50,356		28,358		78,714
Total sales from contracts with customers	$	374,705	$	487,754	$	862,459