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Business Segment (Details) - USD ($)
$ in Thousands
3 Months Ended 9 Months Ended
Sep. 30, 2021
Sep. 30, 2020
Sep. 30, 2021
Sep. 30, 2020
Segment Reporting Information [Line Items]        
Net sales $ 248,827 $ 237,835 $ 736,665 $ 609,631
Orthopedic Surgery        
Segment Reporting Information [Line Items]        
Net sales 105,751 102,187 320,809 261,954
General Surgery        
Segment Reporting Information [Line Items]        
Net sales $ 143,076 $ 135,648 $ 415,856 $ 347,677