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Business Segment (Details) - USD ($)
$ in Thousands
3 Months Ended
Mar. 31, 2023
Mar. 31, 2022
Segment Reporting Information [Line Items]    
Net sales $ 295,468 $ 242,327
Orthopedic Surgery    
Segment Reporting Information [Line Items]    
Net sales 131,175 107,517
General Surgery    
Segment Reporting Information [Line Items]    
Net sales $ 164,293 $ 134,810