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Property and Equipment, net - Property and Equipment, Net (Details) - USD ($) $ in Thousands	6 Months Ended
	Jun. 30, 2023	Dec. 31, 2022
Property Plant And Equipment [Line Items]
Property and equipment, gross	$ 229,360	$ 196,246
Less: accumulated depreciation and amortization	(109,988)	(94,294)
Property and equipment, net	$ 119,372	101,952
Surgical instruments
Property Plant And Equipment [Line Items]
Useful life (in years)	4 years
Property and equipment, gross	$ 185,890	158,906
Machinery and equipment
Property Plant And Equipment [Line Items]
Useful life (in years)	7 years
Property and equipment, gross	$ 10,500	9,502
Computer equipment
Property Plant And Equipment [Line Items]
Useful life (in years)	3 years
Property and equipment, gross	$ 5,150	4,753
Office furniture and equipment
Property Plant And Equipment [Line Items]
Useful life (in years)	5 years
Property and equipment, gross	$ 5,107	4,760
Leasehold improvements
Property Plant And Equipment [Line Items]
Useful lives	various
Property and equipment, gross	$ 3,772	2,965
Construction in progress
Property Plant And Equipment [Line Items]
Property and equipment, gross	$ 18,941	$ 15,360

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