Business Segments and Geographic Areas (Details) $ in Thousands	12 Months Ended
	Dec. 31, 2022 USD ($) Customers	Dec. 31, 2021 USD ($) Customers	Dec. 31, 2020 USD ($) Customers
Segment Reporting Information [Line Items]
Net Sales	$ 1,045,472	$ 1,010,635	$ 862,459
Number of customer representing over 10% of consolidated net sales | Customers	0	0	0
United States [Member]
Segment Reporting Information [Line Items]
Net Sales	$ 578,953	$ 552,533	$ 482,064
EMEA [Member]
Segment Reporting Information [Line Items]
Net Sales	197,937	189,695	161,084
Asia Pacific [Member]
Segment Reporting Information [Line Items]
Net Sales	162,477	171,218	140,597
Americas (excluding the United States) [Member]
Segment Reporting Information [Line Items]
Net Sales	106,105	97,189	78,714
Orthopedic Surgery [Member]
Segment Reporting Information [Line Items]
Net Sales	461,528	438,424	374,705
Orthopedic Surgery [Member] | United States [Member]
Segment Reporting Information [Line Items]
Net Sales	173,176	158,553	139,715
Orthopedic Surgery [Member] | EMEA [Member]
Segment Reporting Information [Line Items]
Net Sales	113,649	108,457	90,998
Orthopedic Surgery [Member] | Asia Pacific [Member]
Segment Reporting Information [Line Items]
Net Sales	103,353	107,590	93,636
Orthopedic Surgery [Member] | Americas (excluding the United States) [Member]
Segment Reporting Information [Line Items]
Net Sales	71,350	63,824	50,356
General Surgery [Member]
Segment Reporting Information [Line Items]
Net Sales	583,944	572,211	487,754
General Surgery [Member] | United States [Member]
Segment Reporting Information [Line Items]
Net Sales	405,777	393,980	342,349
General Surgery [Member] | EMEA [Member]
Segment Reporting Information [Line Items]
Net Sales	84,288	81,238	70,086
General Surgery [Member] | Asia Pacific [Member]
Segment Reporting Information [Line Items]
Net Sales	59,124	63,628	46,961
General Surgery [Member] | Americas (excluding the United States) [Member]
Segment Reporting Information [Line Items]
Net Sales	$ 34,755	$ 33,365	$ 28,358