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Revenues (Disaggregated Revenues) (Details) - USD ($) $ in Thousands	3 Months Ended		9 Months Ended
	Sep. 30, 2021	Sep. 30, 2020	Sep. 30, 2021	Sep. 30, 2020
Disaggregation of Revenue [Line Items]
Net Sales	$ 248,827	$ 237,835	$ 736,665	$ 609,631
Goods transferred at a point in time
Disaggregation of Revenue [Line Items]
Net Sales	238,187	227,745	704,026	582,292
Services transferred over time
Disaggregation of Revenue [Line Items]
Net Sales	10,640	10,090	32,639	27,339
Orthopedic Surgery
Disaggregation of Revenue [Line Items]
Net Sales	105,751	102,187	320,809	261,954
Orthopedic Surgery | Goods transferred at a point in time
Disaggregation of Revenue [Line Items]
Net Sales	96,389	93,000	291,728	237,224
Orthopedic Surgery | Services transferred over time
Disaggregation of Revenue [Line Items]
Net Sales	9,362	9,187	29,081	24,730
General Surgery
Disaggregation of Revenue [Line Items]
Net Sales	143,076	135,648	415,856	347,677
General Surgery | Goods transferred at a point in time
Disaggregation of Revenue [Line Items]
Net Sales	141,798	134,745	412,298	345,068
General Surgery | Services transferred over time
Disaggregation of Revenue [Line Items]
Net Sales	1,278	903	3,558	2,609
United States
Disaggregation of Revenue [Line Items]
Net Sales	136,401	134,205	403,933	340,476
United States | Orthopedic Surgery
Disaggregation of Revenue [Line Items]
Net Sales	37,957	38,913	115,864	97,339
United States | General Surgery
Disaggregation of Revenue [Line Items]
Net Sales	98,444	95,292	288,069	243,137
Americas (excluding the United States)
Disaggregation of Revenue [Line Items]
Net Sales	24,736	21,134	71,497	55,136
Americas (excluding the United States) | Orthopedic Surgery
Disaggregation of Revenue [Line Items]
Net Sales	16,122	13,767	47,215	35,152
Americas (excluding the United States) | General Surgery
Disaggregation of Revenue [Line Items]
Net Sales	8,614	7,367	24,282	19,984
Europe, Middle East & Africa
Disaggregation of Revenue [Line Items]
Net Sales	44,060	40,688	135,921	113,071
Europe, Middle East & Africa | Orthopedic Surgery
Disaggregation of Revenue [Line Items]
Net Sales	24,155	23,104	77,327	62,726
Europe, Middle East & Africa | General Surgery
Disaggregation of Revenue [Line Items]
Net Sales	19,905	17,584	58,594	50,345
Asia Pacific
Disaggregation of Revenue [Line Items]
Net Sales	43,630	41,808	125,314	100,948
Asia Pacific | Orthopedic Surgery
Disaggregation of Revenue [Line Items]
Net Sales	27,517	26,403	80,403	66,737
Asia Pacific | General Surgery
Disaggregation of Revenue [Line Items]
Net Sales	$ 16,113	$ 15,405	$ 44,911	$ 34,211

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