Revenues (Disaggregated Revenues) (Details) - USD ($) $ in Thousands	3 Months Ended		9 Months Ended
	Sep. 30, 2023	Sep. 30, 2022	Sep. 30, 2023	Sep. 30, 2022
Disaggregation of Revenue [Line Items]
Net Sales	$ 304,578	$ 275,088	$ 917,699	$ 794,605
Goods transferred at a point in time
Disaggregation of Revenue [Line Items]
Net Sales	293,637	263,731	882,647	760,769
Services transferred over time
Disaggregation of Revenue [Line Items]
Net Sales	10,941	11,357	35,052	33,836
Orthopedic Surgery
Disaggregation of Revenue [Line Items]
Net Sales	124,667	118,618	396,633	346,317
Orthopedic Surgery | Goods transferred at a point in time
Disaggregation of Revenue [Line Items]
Net Sales	115,722	108,875	367,118	317,140
Orthopedic Surgery | Services transferred over time
Disaggregation of Revenue [Line Items]
Net Sales	8,945	9,743	29,515	29,177
General Surgery
Disaggregation of Revenue [Line Items]
Net Sales	179,911	156,470	521,066	448,288
General Surgery | Goods transferred at a point in time
Disaggregation of Revenue [Line Items]
Net Sales	177,915	154,856	515,529	443,629
General Surgery | Services transferred over time
Disaggregation of Revenue [Line Items]
Net Sales	1,996	1,614	5,537	4,659
United States
Disaggregation of Revenue [Line Items]
Net Sales	170,523	155,721	509,780	436,131
United States | Orthopedic Surgery
Disaggregation of Revenue [Line Items]
Net Sales	46,273	45,688	147,557	124,097
United States | General Surgery
Disaggregation of Revenue [Line Items]
Net Sales	124,250	110,033	362,223	312,034
Americas (excluding the United States)
Disaggregation of Revenue [Line Items]
Net Sales	29,334	26,688	90,187	80,714
Americas (excluding the United States) | Orthopedic Surgery
Disaggregation of Revenue [Line Items]
Net Sales	20,398	17,774	62,008	53,932
Americas (excluding the United States) | General Surgery
Disaggregation of Revenue [Line Items]
Net Sales	8,936	8,914	28,179	26,782
Europe, Middle East & Africa
Disaggregation of Revenue [Line Items]
Net Sales	51,437	47,214	165,735	152,048
Europe, Middle East & Africa | Orthopedic Surgery
Disaggregation of Revenue [Line Items]
Net Sales	28,001	26,914	93,703	88,955
Europe, Middle East & Africa | General Surgery
Disaggregation of Revenue [Line Items]
Net Sales	23,436	20,300	72,032	63,093
Asia Pacific
Disaggregation of Revenue [Line Items]
Net Sales	53,284	45,465	151,997	125,712
Asia Pacific | Orthopedic Surgery
Disaggregation of Revenue [Line Items]
Net Sales	29,995	28,242	93,365	79,333
Asia Pacific | General Surgery
Disaggregation of Revenue [Line Items]
Net Sales	$ 23,289	$ 17,223	$ 58,632	$ 46,379