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Revenues (Disaggregated Revenues) (Details) - USD ($)
$ in Thousands
 3 Months Ended
Mar. 31, 2025
Mar. 31, 2024
Disaggregation of Revenue [Line Items]    
Net Sales $ 321,256 $ 312,273
Goods transferred at a point in time    
Disaggregation of Revenue [Line Items]    
Net Sales 308,065 299,893
Services transferred over time    
Disaggregation of Revenue [Line Items]    
Net Sales 13,191 12,380
Orthopedic Surgery    
Disaggregation of Revenue [Line Items]    
Net Sales 138,290 134,912
Orthopedic Surgery | Goods transferred at a point in time    
Disaggregation of Revenue [Line Items]    
Net Sales 127,548 124,692
Orthopedic Surgery | Services transferred over time    
Disaggregation of Revenue [Line Items]    
Net Sales 10,742 10,220
General Surgery    
Disaggregation of Revenue [Line Items]    
Net Sales 182,966 177,361
General Surgery | Goods transferred at a point in time    
Disaggregation of Revenue [Line Items]    
Net Sales 180,517 175,201
General Surgery | Services transferred over time    
Disaggregation of Revenue [Line Items]    
Net Sales 2,449 2,160
United States    
Disaggregation of Revenue [Line Items]    
Net Sales 183,762 176,406
United States | Orthopedic Surgery    
Disaggregation of Revenue [Line Items]    
Net Sales 53,016 54,151
United States | General Surgery    
Disaggregation of Revenue [Line Items]    
Net Sales 130,746 122,255
Americas (excluding the United States)    
Disaggregation of Revenue [Line Items]    
Net Sales 30,106 30,623
Americas (excluding the United States) | Orthopedic Surgery    
Disaggregation of Revenue [Line Items]    
Net Sales 20,944 21,328
Americas (excluding the United States) | General Surgery    
Disaggregation of Revenue [Line Items]    
Net Sales 9,162 9,295
Europe, Middle East & Africa    
Disaggregation of Revenue [Line Items]    
Net Sales 63,676 60,857
Europe, Middle East & Africa | Orthopedic Surgery    
Disaggregation of Revenue [Line Items]    
Net Sales 35,207 33,205
Europe, Middle East & Africa | General Surgery    
Disaggregation of Revenue [Line Items]    
Net Sales 28,469 27,652
Asia Pacific    
Disaggregation of Revenue [Line Items]    
Net Sales 43,712 44,387
Asia Pacific | Orthopedic Surgery    
Disaggregation of Revenue [Line Items]    
Net Sales 29,123 26,228
Asia Pacific | General Surgery    
Disaggregation of Revenue [Line Items]    
Net Sales $ 14,589 $ 18,159