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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