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Revenues (Details) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2020	Dec. 31, 2019	Dec. 31, 2018
Disaggregation of Revenue [Line Items]
Net Sales	$ 862,459	$ 955,097	$ 859,634
Transferred at Point in Time [Member]
Disaggregation of Revenue [Line Items]
Net Sales	824,465	916,206	825,021
Transferred over Time [Member]
Disaggregation of Revenue [Line Items]
Net Sales	37,994	38,891	34,613
Orthopedic Surgery [Member]
Disaggregation of Revenue [Line Items]
Net Sales	374,705	463,322	446,728
Orthopedic Surgery [Member] | Transferred at Point in Time [Member]
Disaggregation of Revenue [Line Items]
Net Sales	340,318	426,893	413,630
Orthopedic Surgery [Member] | Transferred over Time [Member]
Disaggregation of Revenue [Line Items]
Net Sales	34,387	36,429	33,098
General Surgery [Member]
Disaggregation of Revenue [Line Items]
Net Sales	487,754	491,775	412,906
General Surgery [Member] | Transferred at Point in Time [Member]
Disaggregation of Revenue [Line Items]
Net Sales	484,147	489,313	411,391
General Surgery [Member] | Transferred over Time [Member]
Disaggregation of Revenue [Line Items]
Net Sales	$ 3,607	$ 2,462	$ 1,515

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