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Fair Value Measurement Contingent Consideration (Details) $ in Thousands | 12 Months Ended
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Dec. 31, 2024 USD ($) | Dec. 31, 2023 USD ($) | Dec. 31, 2022 USD ($)
Reconciliation of Beginning and Ending Balances of Contingent Consideration [Abstract] |  |  |
Changes in fair value of contingent consideration | $ (41,048) | $ (2,421) | $ 2,518
Business Combination, Contingent Consideration, Liability, Current | 35,400 | 77,600 |
Business Combination, Contingent Consideration, Liability, Noncurrent | 36,800 | 92,500 |
In2Bones Global Inc |  |  |
Reconciliation of Beginning and Ending Balances of Contingent Consideration [Abstract] |  |  |
Business Combination, Contingent Consideration, Liability Beginning of Year | 41,393 | 70,198 |
Payments | (3,029) | (13,867) |
Changes in fair value of contingent consideration | (27,168) | (14,938) |
Business Combination, Contingent Consideration, Liability End of Year | $ 11,196 | 41,393 | 70,198
In2Bones Global Inc | Fair Value, Inputs, Level 3 | Fair Value, Recurring | Measurement Input, Discount Rate |  |  |
Reconciliation of Beginning and Ending Balances of Contingent Consideration [Abstract] |  |  |
Business Combination, Contingent Consideration, Liability, Measurement Input | 0.0775 |  |
In2Bones Global Inc | Fair Value, Inputs, Level 3 | Fair Value, Recurring | Measurement Input, Revenue Volatility |  |  |
Reconciliation of Beginning and Ending Balances of Contingent Consideration [Abstract] |  |  |
Business Combination, Contingent Consideration, Liability, Measurement Input | 0.1960 |  |
Biorez Inc |  |  |
Reconciliation of Beginning and Ending Balances of Contingent Consideration [Abstract] |  |  |
Business Combination, Contingent Consideration, Liability Beginning of Year | $ 128,751 | 116,234 |
Payments | (53,850) | 0 |
Changes in fair value of contingent consideration | (13,880) | 12,517 |
Business Combination, Contingent Consideration, Liability End of Year | $ 61,021 | $ 128,751 | $ 116,234
Biorez Inc | Fair Value, Inputs, Level 3 | Fair Value, Recurring | Measurement Input, Discount Rate |  |  |
Reconciliation of Beginning and Ending Balances of Contingent Consideration [Abstract] |  |  |
Business Combination, Contingent Consideration, Liability, Measurement Input | 0.1338 |  |
Biorez Inc | Fair Value, Inputs, Level 3 | Fair Value, Recurring | Measurement Input, Revenue Volatility |  |  |
Reconciliation of Beginning and Ending Balances of Contingent Consideration [Abstract] |  |  |
Business Combination, Contingent Consideration, Liability, Measurement Input | 0.2197 |  |

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