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Revenues (Disaggregated Revenues) (Details) - USD ($)
$ in Thousands
3 Months Ended 9 Months Ended
Sep. 30, 2024
Sep. 30, 2023
Sep. 30, 2024
Sep. 30, 2023
Disaggregation of Revenue [Line Items]        
Net Sales $ 316,701 $ 304,578 $ 961,071 $ 917,699
Goods transferred at a point in time        
Disaggregation of Revenue [Line Items]        
Net Sales 304,462 293,637 923,547 882,647
Services transferred over time        
Disaggregation of Revenue [Line Items]        
Net Sales 12,239 10,941 37,524 35,052
Orthopedic Surgery        
Disaggregation of Revenue [Line Items]        
Net Sales 130,537 124,667 404,986 396,633
Orthopedic Surgery | Goods transferred at a point in time        
Disaggregation of Revenue [Line Items]        
Net Sales 120,533 115,722 374,100 367,118
Orthopedic Surgery | Services transferred over time        
Disaggregation of Revenue [Line Items]        
Net Sales 10,004 8,945 30,886 29,515
General Surgery        
Disaggregation of Revenue [Line Items]        
Net Sales 186,164 179,911 556,085 521,066
General Surgery | Goods transferred at a point in time        
Disaggregation of Revenue [Line Items]        
Net Sales 183,929 177,915 549,447 515,529
General Surgery | Services transferred over time        
Disaggregation of Revenue [Line Items]        
Net Sales 2,235 1,996 6,638 5,537
United States        
Disaggregation of Revenue [Line Items]        
Net Sales 183,151 170,523 544,924 509,780
United States | Orthopedic Surgery        
Disaggregation of Revenue [Line Items]        
Net Sales 49,700 46,273 155,975 147,557
United States | General Surgery        
Disaggregation of Revenue [Line Items]        
Net Sales 133,451 124,250 388,949 362,223
Americas (excluding the United States)        
Disaggregation of Revenue [Line Items]        
Net Sales 28,819 29,334 91,079 90,187
Americas (excluding the United States) | Orthopedic Surgery        
Disaggregation of Revenue [Line Items]        
Net Sales 19,212 20,398 61,707 62,008
Americas (excluding the United States) | General Surgery        
Disaggregation of Revenue [Line Items]        
Net Sales 9,607 8,936 29,372 28,179
Europe, Middle East & Africa        
Disaggregation of Revenue [Line Items]        
Net Sales 55,522 51,437 180,067 165,735
Europe, Middle East & Africa | Orthopedic Surgery        
Disaggregation of Revenue [Line Items]        
Net Sales 28,803 28,001 97,024 93,703
Europe, Middle East & Africa | General Surgery        
Disaggregation of Revenue [Line Items]        
Net Sales 26,719 23,436 83,043 72,032
Asia Pacific        
Disaggregation of Revenue [Line Items]        
Net Sales 49,209 53,284 145,001 151,997
Asia Pacific | Orthopedic Surgery        
Disaggregation of Revenue [Line Items]        
Net Sales 32,822 29,995 90,280 93,365
Asia Pacific | General Surgery        
Disaggregation of Revenue [Line Items]        
Net Sales $ 16,387 $ 23,289 $ 54,721 $ 58,632