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Revenues (Disaggregated Revenues) (Details) - USD ($)
$ in Thousands
 3 Months Ended
Mar. 31, 2024
Mar. 31, 2023
Disaggregation of Revenue [Line Items]    
Net Sales $ 312,273 $ 295,468
Goods transferred at a point in time    
Disaggregation of Revenue [Line Items]    
Net Sales 299,893 283,712
Services transferred over time    
Disaggregation of Revenue [Line Items]    
Net Sales 12,380 11,756
Orthopedic Surgery    
Disaggregation of Revenue [Line Items]    
Net Sales 134,912 131,175
Orthopedic Surgery | Goods transferred at a point in time    
Disaggregation of Revenue [Line Items]    
Net Sales 124,692 121,122
Orthopedic Surgery | Services transferred over time    
Disaggregation of Revenue [Line Items]    
Net Sales 10,220 10,053
General Surgery    
Disaggregation of Revenue [Line Items]    
Net Sales 177,361 164,293
General Surgery | Goods transferred at a point in time    
Disaggregation of Revenue [Line Items]    
Net Sales 175,201 162,590
General Surgery | Services transferred over time    
Disaggregation of Revenue [Line Items]    
Net Sales 2,160 1,703
United States    
Disaggregation of Revenue [Line Items]    
Net Sales 176,406 164,589
United States | Orthopedic Surgery    
Disaggregation of Revenue [Line Items]    
Net Sales 54,151 48,944
United States | General Surgery    
Disaggregation of Revenue [Line Items]    
Net Sales 122,255 115,645
Americas (excluding the United States)    
Disaggregation of Revenue [Line Items]    
Net Sales 30,623 28,756
Americas (excluding the United States) | Orthopedic Surgery    
Disaggregation of Revenue [Line Items]    
Net Sales 21,328 18,990
Americas (excluding the United States) | General Surgery    
Disaggregation of Revenue [Line Items]    
Net Sales 9,295 9,766
Europe, Middle East & Africa    
Disaggregation of Revenue [Line Items]    
Net Sales 60,857 56,016
Europe, Middle East & Africa | Orthopedic Surgery    
Disaggregation of Revenue [Line Items]    
Net Sales 33,205 33,120
Europe, Middle East & Africa | General Surgery    
Disaggregation of Revenue [Line Items]    
Net Sales 27,652 22,896
Asia Pacific    
Disaggregation of Revenue [Line Items]    
Net Sales 44,387 46,107
Asia Pacific | Orthopedic Surgery    
Disaggregation of Revenue [Line Items]    
Net Sales 26,228 30,121
Asia Pacific | General Surgery    
Disaggregation of Revenue [Line Items]    
Net Sales $ 18,159 $ 15,986