Business Segment (Details) - USD ($) $ in Thousands	3 Months Ended		6 Months Ended
	Jun. 30, 2023	Jun. 30, 2022	Jun. 30, 2023	Jun. 30, 2022
Segment Reporting Information [Line Items]
Net sales	$ 317,652	$ 277,190	$ 613,121	$ 519,516
Orthopedic Surgery
Segment Reporting Information [Line Items]
Net sales	140,790	120,182	271,966	227,698
General Surgery
Segment Reporting Information [Line Items]
Net sales	$ 176,862	$ 157,008	$ 341,155	$ 291,818