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Property and Equipment, net - Property and Equipment, Net (Details) - USD ($)
$ in Thousands
3 Months Ended
Mar. 31, 2025
Dec. 31, 2024
Property, Plant and Equipment [Line Items]    
Property and equipment, gross $ 343,191 $ 340,010
Less: accumulated depreciation and amortization (196,550) (183,616)
Property and equipment, net $ 146,641 156,394
Surgical instruments    
Property, Plant and Equipment [Line Items]    
Useful life (in years) 4 years  
Property and equipment, gross $ 286,904 283,597
Machinery and equipment    
Property, Plant and Equipment [Line Items]    
Useful life (in years) 7 years  
Property and equipment, gross $ 12,796 12,710
Computer equipment    
Property, Plant and Equipment [Line Items]    
Useful life (in years) 8 years  
Property and equipment, gross $ 32,131 32,082
Office furniture and equipment    
Property, Plant and Equipment [Line Items]    
Useful life (in years) 5 years  
Property and equipment, gross $ 6,477 6,759
Leasehold improvements    
Property, Plant and Equipment [Line Items]    
Useful lives various  
Property and equipment, gross $ 4,337 4,321
Construction in progress    
Property, Plant and Equipment [Line Items]    
Property and equipment, gross $ 546 $ 541