Revenues (Details) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2022	Dec. 31, 2021	Dec. 31, 2020
Disaggregation of Revenue [Line Items]
Net Sales	$ 1,045,472	$ 1,010,635	$ 862,459
Transferred at Point in Time [Member]
Disaggregation of Revenue [Line Items]
Net Sales	1,000,273	966,207	824,465
Transferred over Time [Member]
Disaggregation of Revenue [Line Items]
Net Sales	45,199	44,428	37,994
Orthopedic Surgery [Member]
Disaggregation of Revenue [Line Items]
Net Sales	461,528	438,424	374,705
Orthopedic Surgery [Member] | Transferred at Point in Time [Member]
Disaggregation of Revenue [Line Items]
Net Sales	422,648	398,963	340,318
Orthopedic Surgery [Member] | Transferred over Time [Member]
Disaggregation of Revenue [Line Items]
Net Sales	38,880	39,461	34,387
General Surgery [Member]
Disaggregation of Revenue [Line Items]
Net Sales	583,944	572,211	487,754
General Surgery [Member] | Transferred at Point in Time [Member]
Disaggregation of Revenue [Line Items]
Net Sales	577,625	567,244	484,147
General Surgery [Member] | Transferred over Time [Member]
Disaggregation of Revenue [Line Items]
Net Sales	$ 6,319	$ 4,967	$ 3,607