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Business Segments and Geographic Areas (Details)
$ in Thousands
 12 Months Ended
Dec. 31, 2020
USD ($)
Customers
Dec. 31, 2019
USD ($)
Customers
Dec. 31, 2018
USD ($)
Customers
Segment Reporting Information [Line Items]      
Net Sales $ 862,459 $ 955,097 $ 859,634
Number of customer representing over 10% of consolidated net sales | Customers 0 0 0
United States [Member]      
Segment Reporting Information [Line Items]      
Net Sales $ 482,064 $ 516,665 $ 448,648
Americas (excluding the United States) [Member]      
Segment Reporting Information [Line Items]      
Net Sales 78,714 95,273 97,528
EMEA [Member]      
Segment Reporting Information [Line Items]      
Net Sales 161,084 182,549 166,563
Asia Pacific [Member]      
Segment Reporting Information [Line Items]      
Net Sales 140,597 160,610 146,895
Orthopedic Surgery [Member]      
Segment Reporting Information [Line Items]      
Net Sales 374,705 463,322 446,728
Orthopedic Surgery [Member] | United States [Member]      
Segment Reporting Information [Line Items]      
Net Sales 139,715 179,419 172,462
Orthopedic Surgery [Member] | Americas (excluding the United States) [Member]      
Segment Reporting Information [Line Items]      
Net Sales 50,356 64,269 66,519
Orthopedic Surgery [Member] | EMEA [Member]      
Segment Reporting Information [Line Items]      
Net Sales 90,998 118,301 112,998
Orthopedic Surgery [Member] | Asia Pacific [Member]      
Segment Reporting Information [Line Items]      
Net Sales 93,636 101,333 94,749
General Surgery [Member]      
Segment Reporting Information [Line Items]      
Net Sales 487,754 491,775 412,906
General Surgery [Member] | United States [Member]      
Segment Reporting Information [Line Items]      
Net Sales 342,349 337,246 276,186
General Surgery [Member] | Americas (excluding the United States) [Member]      
Segment Reporting Information [Line Items]      
Net Sales 28,358 31,004 31,009
General Surgery [Member] | EMEA [Member]      
Segment Reporting Information [Line Items]      
Net Sales 70,086 64,248 53,565
General Surgery [Member] | Asia Pacific [Member]      
Segment Reporting Information [Line Items]      
Net Sales $ 46,961 $ 59,277 $ 52,146