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Business Segments and Geographic Areas (Details) $ in Thousands | 12 Months Ended
--- | ---
Dec. 31, 2021 USD ($) Customers | Dec. 31, 2020 USD ($) Customers | Dec. 31, 2019 USD ($) Customers
Segment Reporting Information [Line Items] |  |  |
Net Sales | $ 1,010,635 | $ 862,459 | $ 955,097
Number of customer representing over 10% of consolidated net sales | Customers | 0 | 0 | 0
United States [Member] |  |  |
Segment Reporting Information [Line Items] |  |  |
Net Sales | $ 552,533 | $ 482,064 | $ 516,665
Americas (excluding the United States) [Member] |  |  |
Segment Reporting Information [Line Items] |  |  |
Net Sales | 97,189 | 78,714 | 95,273
EMEA [Member] |  |  |
Segment Reporting Information [Line Items] |  |  |
Net Sales | 189,695 | 161,084 | 182,549
Asia Pacific [Member] |  |  |
Segment Reporting Information [Line Items] |  |  |
Net Sales | 171,218 | 140,597 | 160,610
Orthopedic Surgery [Member] |  |  |
Segment Reporting Information [Line Items] |  |  |
Net Sales | 438,424 | 374,705 | 463,322
Orthopedic Surgery [Member] | United States [Member] |  |  |
Segment Reporting Information [Line Items] |  |  |
Net Sales | 158,553 | 139,715 | 179,419
Orthopedic Surgery [Member] | Americas (excluding the United States) [Member] |  |  |
Segment Reporting Information [Line Items] |  |  |
Net Sales | 63,824 | 50,356 | 64,269
Orthopedic Surgery [Member] | EMEA [Member] |  |  |
Segment Reporting Information [Line Items] |  |  |
Net Sales | 108,457 | 90,998 | 118,301
Orthopedic Surgery [Member] | Asia Pacific [Member] |  |  |
Segment Reporting Information [Line Items] |  |  |
Net Sales | 107,590 | 93,636 | 101,333
General Surgery [Member] |  |  |
Segment Reporting Information [Line Items] |  |  |
Net Sales | 572,211 | 487,754 | 491,775
General Surgery [Member] | United States [Member] |  |  |
Segment Reporting Information [Line Items] |  |  |
Net Sales | 393,980 | 342,349 | 337,246
General Surgery [Member] | Americas (excluding the United States) [Member] |  |  |
Segment Reporting Information [Line Items] |  |  |
Net Sales | 33,365 | 28,358 | 31,004
General Surgery [Member] | EMEA [Member] |  |  |
Segment Reporting Information [Line Items] |  |  |
Net Sales | 81,238 | 70,086 | 64,248
General Surgery [Member] | Asia Pacific [Member] |  |  |
Segment Reporting Information [Line Items] |  |  |
Net Sales | $ 63,628 | $ 46,961 | $ 59,277

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- Definition Amount, excluding tax collected from customer, of revenue from satisfaction of performance obligation by transferring promised good or service to customer. Tax collected from customer is tax assessed by governmental authority that is both imposed on and concurrent with specific revenue-producing transaction, including, but not limited to, sales, use, value added and excise. + References Reference 1: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 280 -SubTopic 10 -Section 50 -Paragraph 30 -Subparagraph (a) -URI http://asc.fasb.org/extlink&oid=123359005&loc=d3e8906-108599 Reference 2: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 280 -SubTopic 10 -Section 50 -Paragraph 40 -URI http://asc.fasb.org/extlink&oid=123359005&loc=d3e9031-108599 Reference 3: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 280 -SubTopic 10 -Section 50 -Paragraph 41 -Subparagraph (a) -URI http://asc.fasb.org/extlink&oid=123359005&loc=d3e9038-108599 Reference 4: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 280 -SubTopic 10 -Section 50 -Paragraph 32 -Subparagraph (b) -URI http://asc.fasb.org/extlink&oid=123359005&loc=d3e8933-108599 Reference 5: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 280 -SubTopic 10 -Section 50 -Paragraph 32 -Subparagraph (a) -URI http://asc.fasb.org/extlink&oid=123359005&loc=d3e8933-108599 Reference 6: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 606 -SubTopic 10 -Section 50 -Paragraph 4 -Subparagraph (a) -URI http://asc.fasb.org/extlink&oid=123351226&loc=SL49130543-203045 Reference 7: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 280 -SubTopic 10 -Section 50 -Paragraph 22 -Subparagraph (b) -URI http://asc.fasb.org/extlink&oid=123359005&loc=d3e8736-108599 Reference 8: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 280 -SubTopic 10 -Section 50 -Paragraph 22 -Subparagraph (a) -URI http://asc.fasb.org/extlink&oid=123359005&loc=d3e8736-108599 Reference 9: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 280 -SubTopic 10 -Section 50 -Paragraph 42 -URI http://asc.fasb.org/extlink&oid=123359005&loc=d3e9054-108599 Reference 10: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 606 -SubTopic 10 -Section 50 -Paragraph 5 -URI http://asc.fasb.org/extlink&oid=123351226&loc=SL49130545-203045 Reference 11: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 924 -SubTopic 10 -Section S99 -Paragraph 1 -Subparagraph (SAB Topic 11.L) -URI http://asc.fasb.org/extlink&oid=6472922&loc=d3e499488-122856 + Details
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