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Business Segment (Details) - USD ($)
$ in Thousands
3 Months Ended 6 Months Ended
Jun. 30, 2021
Jun. 30, 2020
Jun. 30, 2021
Jun. 30, 2020
Segment Reporting Information [Line Items]        
Net sales $ 255,161 $ 157,785 $ 487,837 $ 371,796
Orthopedic Surgery        
Segment Reporting Information [Line Items]        
Net sales 107,893 60,483 215,058 159,766
General Surgery        
Segment Reporting Information [Line Items]        
Net sales $ 147,268 $ 97,302 $ 272,779 $ 212,030