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Revenues (Disaggregated Revenues) (Details) - USD ($) $ in Thousands | 3 Months Ended
--- | ---
Mar. 31, 2021 | Mar. 31, 2020
Disaggregation of Revenue [Line Items] |  |
Net Sales | $ 232,677 | $ 214,010
Goods transferred at a point in time |  |
Disaggregation of Revenue [Line Items] |  |
Net Sales | 222,084 | 204,454
Services transferred over time |  |
Disaggregation of Revenue [Line Items] |  |
Net Sales | 10,593 | 9,556
Orthopedic Surgery |  |
Disaggregation of Revenue [Line Items] |  |
Net Sales | 107,166 | 99,283
Orthopedic Surgery | Goods transferred at a point in time |  |
Disaggregation of Revenue [Line Items] |  |
Net Sales | 97,690 | 90,553
Orthopedic Surgery | Services transferred over time |  |
Disaggregation of Revenue [Line Items] |  |
Net Sales | 9,476 | 8,730
General Surgery |  |
Disaggregation of Revenue [Line Items] |  |
Net Sales | 125,511 | 114,727
General Surgery | Goods transferred at a point in time |  |
Disaggregation of Revenue [Line Items] |  |
Net Sales | 124,394 | 113,901
General Surgery | Services transferred over time |  |
Disaggregation of Revenue [Line Items] |  |
Net Sales | 1,117 | 826
United States |  |
Disaggregation of Revenue [Line Items] |  |
Net Sales | 123,943 | 118,847
United States | Orthopedic Surgery |  |
Disaggregation of Revenue [Line Items] |  |
Net Sales | 37,131 | 37,039
United States | General Surgery |  |
Disaggregation of Revenue [Line Items] |  |
Net Sales | 86,812 | 81,808
Americas (excluding the United States) |  |
Disaggregation of Revenue [Line Items] |  |
Net Sales | 24,874 | 23,781
Americas (excluding the United States) | Orthopedic Surgery |  |
Disaggregation of Revenue [Line Items] |  |
Net Sales | 17,381 | 15,802
Americas (excluding the United States) | General Surgery |  |
Disaggregation of Revenue [Line Items] |  |
Net Sales | 7,493 | 7,979
Europe, Middle East & Africa |  |
Disaggregation of Revenue [Line Items] |  |
Net Sales | 44,596 | 42,522
Europe, Middle East & Africa | Orthopedic Surgery |  |
Disaggregation of Revenue [Line Items] |  |
Net Sales | 26,052 | 25,907
Europe, Middle East & Africa | General Surgery |  |
Disaggregation of Revenue [Line Items] |  |
Net Sales | 18,544 | 16,615
Asia Pacific |  |
Disaggregation of Revenue [Line Items] |  |
Net Sales | 39,264 | 28,860
Asia Pacific | Orthopedic Surgery |  |
Disaggregation of Revenue [Line Items] |  |
Net Sales | 26,602 | 20,535
Asia Pacific | General Surgery |  |
Disaggregation of Revenue [Line Items] |  |
Net Sales | $ 12,662 | $ 8,325

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