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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