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Net sales (Tables)
 12 Months Ended
Dec. 31, 2020
Bio Ventus LLC  
Disaggregation of Revenue [Line Items]  
Disaggregated By Geographic Markets And Major Products The following table presents our net sales by segment disaggregated by geographic markets and major products (Vertical) for the years ended December 31 as follows:
    
2020
     
2019
     
2018
  
Primary geographic markets:
         
U.S.
    $ 293,697    $ 305,072    $ 282,895
International
      27,464      35,069      36,282
  
 
 
     
 
 
     
 
 
  
Total net sales
    $ 321,161    $ 340,141    $ 319,177
  
 
 
     
 
 
     
 
 
  
Vertical:
         
OA joint pain treatment and joint preservation
    $ 171,178    $ 182,082    $ 155,576
Minimally invasive fracture treatment
      88,624      103,504      121,032
Bone graft substitutes
      61,359      54,555      42,569
  
 
 
     
 
 
     
 
 
  
Total net sales
    $ 321,161    $ 340,141    $ 319,177