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Revenues (Disaggregated Revenues) (Details) - USD ($)
$ in Thousands
 3 Months Ended 6 Months Ended
Jun. 30, 2023
Jun. 30, 2022
Jun. 30, 2023
Jun. 30, 2022
Disaggregation of Revenue [Line Items]        
Net Sales $ 317,652 $ 277,190 $ 613,121 $ 519,516
Goods transferred at a point in time        
Disaggregation of Revenue [Line Items]        
Net Sales 305,299 265,511 589,011 497,037
Services transferred over time        
Disaggregation of Revenue [Line Items]        
Net Sales 12,353 11,679 24,110 22,479
Orthopedic Surgery        
Disaggregation of Revenue [Line Items]        
Net Sales 140,790 120,182 271,966 227,698
Orthopedic Surgery | Goods transferred at a point in time        
Disaggregation of Revenue [Line Items]        
Net Sales 130,274 110,060 251,397 208,264
Orthopedic Surgery | Services transferred over time        
Disaggregation of Revenue [Line Items]        
Net Sales 10,516 10,122 20,569 19,434
General Surgery        
Disaggregation of Revenue [Line Items]        
Net Sales 176,862 157,008 341,155 291,818
General Surgery | Goods transferred at a point in time        
Disaggregation of Revenue [Line Items]        
Net Sales 175,025 155,451 337,614 288,773
General Surgery | Services transferred over time        
Disaggregation of Revenue [Line Items]        
Net Sales 1,837 1,557 3,541 3,045
United States        
Disaggregation of Revenue [Line Items]        
Net Sales 174,667 149,182 339,257 280,409
United States | Orthopedic Surgery        
Disaggregation of Revenue [Line Items]        
Net Sales 52,339 40,461 101,284 78,408
United States | General Surgery        
Disaggregation of Revenue [Line Items]        
Net Sales 122,328 108,721 237,973 202,001
Americas (excluding the United States)        
Disaggregation of Revenue [Line Items]        
Net Sales 32,097 29,605 60,853 54,026
Americas (excluding the United States) | Orthopedic Surgery        
Disaggregation of Revenue [Line Items]        
Net Sales 22,620 19,987 41,610 36,158
Americas (excluding the United States) | General Surgery        
Disaggregation of Revenue [Line Items]        
Net Sales 9,477 9,618 19,243 17,868
Europe, Middle East & Africa        
Disaggregation of Revenue [Line Items]        
Net Sales 58,282 54,528 114,298 104,835
Europe, Middle East & Africa | Orthopedic Surgery        
Disaggregation of Revenue [Line Items]        
Net Sales 32,582 32,060 65,702 62,041
Europe, Middle East & Africa | General Surgery        
Disaggregation of Revenue [Line Items]        
Net Sales 25,700 22,468 48,596 42,794
Asia Pacific        
Disaggregation of Revenue [Line Items]        
Net Sales 52,606 43,875 98,713 80,246
Asia Pacific | Orthopedic Surgery        
Disaggregation of Revenue [Line Items]        
Net Sales 33,249 27,674 63,370 51,091
Asia Pacific | General Surgery        
Disaggregation of Revenue [Line Items]        
Net Sales $ 19,357 $ 16,201 $ 35,343 $ 29,155