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Revenues (Disaggregated Revenues) (Details) - USD ($)
$ in Thousands
3 Months Ended
Mar. 31, 2023
Mar. 31, 2022
Disaggregation of Revenue [Line Items]    
Net Sales $ 295,468 $ 242,327
Goods transferred at a point in time    
Disaggregation of Revenue [Line Items]    
Net Sales 283,712 231,526
Services transferred over time    
Disaggregation of Revenue [Line Items]    
Net Sales 11,756 10,801
Orthopedic Surgery    
Disaggregation of Revenue [Line Items]    
Net Sales 131,175 107,517
Orthopedic Surgery | Goods transferred at a point in time    
Disaggregation of Revenue [Line Items]    
Net Sales 121,122 98,204
Orthopedic Surgery | Services transferred over time    
Disaggregation of Revenue [Line Items]    
Net Sales 10,053 9,313
General Surgery    
Disaggregation of Revenue [Line Items]    
Net Sales 164,293 134,810
General Surgery | Goods transferred at a point in time    
Disaggregation of Revenue [Line Items]    
Net Sales 162,590 133,322
General Surgery | Services transferred over time    
Disaggregation of Revenue [Line Items]    
Net Sales 1,703 1,488
United States    
Disaggregation of Revenue [Line Items]    
Net Sales 164,589 131,227
United States | Orthopedic Surgery    
Disaggregation of Revenue [Line Items]    
Net Sales 48,944 37,947
United States | General Surgery    
Disaggregation of Revenue [Line Items]    
Net Sales 115,645 93,280
Americas (excluding the United States)    
Disaggregation of Revenue [Line Items]    
Net Sales 28,756 24,422
Americas (excluding the United States) | Orthopedic Surgery    
Disaggregation of Revenue [Line Items]    
Net Sales 18,990 16,172
Americas (excluding the United States) | General Surgery    
Disaggregation of Revenue [Line Items]    
Net Sales 9,766 8,250
Europe, Middle East & Africa    
Disaggregation of Revenue [Line Items]    
Net Sales 56,016 50,306
Europe, Middle East & Africa | Orthopedic Surgery    
Disaggregation of Revenue [Line Items]    
Net Sales 33,120 29,980
Europe, Middle East & Africa | General Surgery    
Disaggregation of Revenue [Line Items]    
Net Sales 22,896 20,326
Asia Pacific    
Disaggregation of Revenue [Line Items]    
Net Sales 46,107 36,372
Asia Pacific | Orthopedic Surgery    
Disaggregation of Revenue [Line Items]    
Net Sales 30,121 23,418
Asia Pacific | General Surgery    
Disaggregation of Revenue [Line Items]    
Net Sales $ 15,986 $ 12,954