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Business Segment (Details) - USD ($)
$ in Thousands
3 Months Ended
Mar. 31, 2024
Mar. 31, 2023
Segment Reporting Information [Line Items]    
Net sales $ 312,273 $ 295,468
Orthopedic Surgery    
Segment Reporting Information [Line Items]    
Net sales 134,912 131,175
General Surgery    
Segment Reporting Information [Line Items]    
Net sales $ 177,361 $ 164,293