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Revenues (Details) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2021	Dec. 31, 2020	Dec. 31, 2019
Disaggregation of Revenue [Line Items]
Net Sales	$ 1,010,635	$ 862,459	$ 955,097
Transferred at Point in Time [Member]
Disaggregation of Revenue [Line Items]
Net Sales	966,207	824,465	916,206
Transferred over Time [Member]
Disaggregation of Revenue [Line Items]
Net Sales	44,428	37,994	38,891
Orthopedic Surgery [Member]
Disaggregation of Revenue [Line Items]
Net Sales	438,424	374,705	463,322
Orthopedic Surgery [Member] | Transferred at Point in Time [Member]
Disaggregation of Revenue [Line Items]
Net Sales	398,963	340,318	426,893
Orthopedic Surgery [Member] | Transferred over Time [Member]
Disaggregation of Revenue [Line Items]
Net Sales	39,461	34,387	36,429
General Surgery [Member]
Disaggregation of Revenue [Line Items]
Net Sales	572,211	487,754	491,775
General Surgery [Member] | Transferred at Point in Time [Member]
Disaggregation of Revenue [Line Items]
Net Sales	567,244	484,147	489,313
General Surgery [Member] | Transferred over Time [Member]
Disaggregation of Revenue [Line Items]
Net Sales	$ 4,967	$ 3,607	$ 2,462

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