Business Segment (Details) - USD ($) $ in Thousands	3 Months Ended		9 Months Ended
	Sep. 30, 2023	Sep. 30, 2022	Sep. 30, 2023	Sep. 30, 2022
Segment Reporting Information [Line Items]
Net sales	$ 304,578	$ 275,088	$ 917,699	$ 794,605
Orthopedic Surgery
Segment Reporting Information [Line Items]
Net sales	124,667	118,618	396,633	346,317
General Surgery
Segment Reporting Information [Line Items]
Net sales	$ 179,911	$ 156,470	$ 521,066	$ 448,288