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Revenues (Disaggregated Revenues) (Details) - USD ($)
$ in Thousands
 3 Months Ended 6 Months Ended
Jun. 30, 2020
Jun. 30, 2019
Jun. 30, 2020
Jun. 30, 2019
Disaggregation of Revenue [Line Items]        
Net Sales $ 157,785 $ 238,263 $ 371,796 $ 456,641
Goods transferred at a point in time        
Disaggregation of Revenue [Line Items]        
Net Sales 150,092 228,699 354,546 437,862
Services transferred over time        
Disaggregation of Revenue [Line Items]        
Net Sales 7,693 9,564 17,250 18,779
Orthopedic Surgery        
Disaggregation of Revenue [Line Items]        
Net Sales 60,483 115,757 159,766 229,194
Orthopedic Surgery | Goods transferred at a point in time        
Disaggregation of Revenue [Line Items]        
Net Sales 53,670 106,772 144,222 211,511
Orthopedic Surgery | Services transferred over time        
Disaggregation of Revenue [Line Items]        
Net Sales 6,813 8,985 15,544 17,683
General Surgery        
Disaggregation of Revenue [Line Items]        
Net Sales 97,302 122,506 212,030 227,447
General Surgery | Goods transferred at a point in time        
Disaggregation of Revenue [Line Items]        
Net Sales 96,422 121,927 210,324 226,351
General Surgery | Services transferred over time        
Disaggregation of Revenue [Line Items]        
Net Sales 880 579 1,706 1,096
United States        
Disaggregation of Revenue [Line Items]        
Net Sales 87,425 128,936 206,273 245,961
United States | Orthopedic Surgery        
Disaggregation of Revenue [Line Items]        
Net Sales 21,387 43,335 58,426 88,590
United States | General Surgery        
Disaggregation of Revenue [Line Items]        
Net Sales 66,038 85,601 147,847 157,371
Americas (excluding the United States)        
Disaggregation of Revenue [Line Items]        
Net Sales 10,219 23,604 34,002 46,109
Americas (excluding the United States) | Orthopedic Surgery        
Disaggregation of Revenue [Line Items]        
Net Sales 5,582 15,781 21,385 30,823
Americas (excluding the United States) | General Surgery        
Disaggregation of Revenue [Line Items]        
Net Sales 4,637 7,823 12,617 15,286
Europe, Middle East & Africa        
Disaggregation of Revenue [Line Items]        
Net Sales 29,861 46,862 72,383 93,193
Europe, Middle East & Africa | Orthopedic Surgery        
Disaggregation of Revenue [Line Items]        
Net Sales 13,715 31,099 39,622 61,505
Europe, Middle East & Africa | General Surgery        
Disaggregation of Revenue [Line Items]        
Net Sales 16,146 15,763 32,761 31,688
Asia Pacific        
Disaggregation of Revenue [Line Items]        
Net Sales 30,280 38,861 59,138 71,378
Asia Pacific | Orthopedic Surgery        
Disaggregation of Revenue [Line Items]        
Net Sales 19,799 25,542 40,333 48,276
Asia Pacific | General Surgery        
Disaggregation of Revenue [Line Items]        
Net Sales $ 10,481 $ 13,319 $ 18,805 $ 23,102