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Business Segment (Details) - USD ($)
$ in Thousands
3 Months Ended 6 Months Ended
Jun. 30, 2022
Jun. 30, 2021
Jun. 30, 2022
Jun. 30, 2021
Segment Reporting Information [Line Items]        
Net sales $ 277,190 $ 255,161 $ 519,516 $ 487,837
Orthopedic Surgery        
Segment Reporting Information [Line Items]        
Net sales 120,182 107,893 227,698 215,058
General Surgery        
Segment Reporting Information [Line Items]        
Net sales $ 157,008 $ 147,268 $ 291,818 $ 272,779