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Revenues (Disaggregated Revenues) (Details) - USD ($) $ in Thousands | 3 Months Ended
--- | ---
Mar. 31, 2022 | Mar. 31, 2021
Disaggregation of Revenue [Line Items] |  |
Net Sales | $ 242,327 | $ 232,677
Goods transferred at a point in time |  |
Disaggregation of Revenue [Line Items] |  |
Net Sales | 231,526 | 222,084
Services transferred over time |  |
Disaggregation of Revenue [Line Items] |  |
Net Sales | 10,801 | 10,593
Orthopedic Surgery |  |
Disaggregation of Revenue [Line Items] |  |
Net Sales | 107,517 | 107,166
Orthopedic Surgery | Goods transferred at a point in time |  |
Disaggregation of Revenue [Line Items] |  |
Net Sales | 98,204 | 97,690
Orthopedic Surgery | Services transferred over time |  |
Disaggregation of Revenue [Line Items] |  |
Net Sales | 9,313 | 9,476
General Surgery |  |
Disaggregation of Revenue [Line Items] |  |
Net Sales | 134,810 | 125,511
General Surgery | Goods transferred at a point in time |  |
Disaggregation of Revenue [Line Items] |  |
Net Sales | 133,322 | 124,394
General Surgery | Services transferred over time |  |
Disaggregation of Revenue [Line Items] |  |
Net Sales | 1,488 | 1,117
United States |  |
Disaggregation of Revenue [Line Items] |  |
Net Sales | 131,227 | 123,943
United States | Orthopedic Surgery |  |
Disaggregation of Revenue [Line Items] |  |
Net Sales | 37,947 | 37,131
United States | General Surgery |  |
Disaggregation of Revenue [Line Items] |  |
Net Sales | 93,280 | 86,812
Americas (excluding the United States) |  |
Disaggregation of Revenue [Line Items] |  |
Net Sales | 24,422 | 24,874
Americas (excluding the United States) | Orthopedic Surgery |  |
Disaggregation of Revenue [Line Items] |  |
Net Sales | 16,172 | 17,381
Americas (excluding the United States) | General Surgery |  |
Disaggregation of Revenue [Line Items] |  |
Net Sales | 8,250 | 7,493
Europe, Middle East & Africa |  |
Disaggregation of Revenue [Line Items] |  |
Net Sales | 50,306 | 44,596
Europe, Middle East & Africa | Orthopedic Surgery |  |
Disaggregation of Revenue [Line Items] |  |
Net Sales | 29,980 | 26,052
Europe, Middle East & Africa | General Surgery |  |
Disaggregation of Revenue [Line Items] |  |
Net Sales | 20,326 | 18,544
Asia Pacific |  |
Disaggregation of Revenue [Line Items] |  |
Net Sales | 36,372 | 39,264
Asia Pacific | Orthopedic Surgery |  |
Disaggregation of Revenue [Line Items] |  |
Net Sales | 23,418 | 26,602
Asia Pacific | General Surgery |  |
Disaggregation of Revenue [Line Items] |  |
Net Sales | $ 12,954 | $ 12,662

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