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Business Segment (Tables) | 9 Months Ended
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Sep. 30, 2025
Segment Reporting [Abstract] |
Schedule of Net Sales Information by Product Line | These product lines' net sales are as follows:
| Three Months Ended September 30, |  | Nine Months Ended September 30,
| 2025 |  | 2024 |  | 2025 |  | 2024
Orthopedic surgery | $ | 138,193 |  |  | $ | 130,537 |  |  | $ | 417,216 |  |  | $ | 404,986 |
General surgery | 199,733 |  |  | 186,164 |  |  | 584,310 |  |  | 556,085 |
Consolidated net sales | $ | 337,926 |  |  | $ | 316,701 |  |  | $ | 1,001,526 |  |  | $ | 961,071 |
Schedule of Segment Reporting Information, by Segment | The following table includes significant segment expenses:
| Three Months Ended September 30, |  | Nine Months Ended September 30,
| 2025 |  | 2024 |  | 2025 |  | 2024
Net sales | $ | 337,926 |  |  | $ | 316,701 |  |  | $ | 1,001,526 |  |  | $ | 961,071 |
Cost of sales | 171,807 |  |  | 137,706 |  |  | 469,336 |  |  | 426,383 |
Salesforce and commission expense | 59,404 |  |  | 55,124 |  |  | 175,760 |  |  | 167,720 |
Marketing expense | 16,915 |  |  | 16,053 |  |  | 49,782 |  |  | 48,002 |
Distribution expense | 13,085 |  |  | 12,039 |  |  | 38,270 |  |  | 36,831 |
General and administrative expense | 31,941 |  |  | 28,396 |  |  | 97,609 |  |  | 89,388 |
Stock-based compensation expense | 4,585 |  |  | 6,123 |  |  | 23,352 |  |  | 19,336 |
Amortization expense | 7,233 |  |  | 7,158 |  |  | 21,597 |  |  | 21,466 |
Non-cash adjustments to fair value of contingent consideration liability | 1,341 |  |  | (27,049) |  |  | 3,504 |  |  | (42,267) |
Research and development expense | 13,901 |  |  | 13,558 |  |  | 40,985 |  |  | 41,250 |
Interest expense | 7,606 |  |  | 9,252 |  |  | 23,716 |  |  | 28,440 |
Other expense | — |  |  | — |  |  | 418 |  |  | — |
Provision for income taxes | 1,414 |  |  | 7,471 |  |  | 11,548 |  |  | 20,719 |
Other segment items(a) | 5,835 |  |  | 1,886 |  |  | 15,333 |  |  | 5,135 |
Net income | $ | 2,859 |  |  | $ | 48,984 |  |  | $ | 30,316 |  |  | $ | 98,668 |
(a)Other segment items consist of (i) third party services pertaining to review of potential issues with certain royalty payments to surgeons involved in design teams during the three and nine months ended September 30, 2025 and 2024; (ii) cash compensation costs related to advisory services provided by our former Chief Executive Officer during the nine months ended September 30, 2025; (iii) consulting fees related to operational optimization during the three and nine months ended September 30, 2025; (iv) gain on the sale of a product line during the nine months ended September 30, 2025; and (v) restructuring related costs and income related to the termination of a distributor agreement during the nine months ended September 30, 2024.

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- Definition Tabular disclosure of entity-wide revenues from external customers for each product or service or each group of similar products or services if the information is not provided as part of the reportable operating segment information. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Name Accounting Standards Codification -Topic 280 -SubTopic 10 -Section 50 -Paragraph 40 -Publisher FASB -URI https://asc.fasb.org/1943274/2147482810/280-10-50-40 + Details
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- Definition Tabular disclosure of the profit or loss and total assets for each reportable segment. An entity discloses certain information on each reportable segment if the amounts (a) are included in the measure of segment profit or loss reviewed by the chief operating decision maker or (b) are otherwise regularly provided to the chief operating decision maker, even if not included in that measure of segment profit or loss. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Name Accounting Standards Codification -Topic 280 -SubTopic 10 -Section 50 -Paragraph 25 -Publisher FASB -URI https://asc.fasb.org/1943274/2147482810/280-10-50-25 Reference 2: http://fasb.org/us-gaap/role/ref/legacyRef -Name Accounting Standards Codification -Topic 280 -SubTopic 10 -Section 50 -Paragraph 22 -Publisher FASB -URI https://asc.fasb.org/1943274/2147482810/280-10-50-22 Reference 3: http://fasb.org/us-gaap/role/ref/legacyRef -Name Accounting Standards Codification -Topic 280 -SubTopic 10 -Section 50 -Paragraph 30 -Publisher FASB -URI https://asc.fasb.org/1943274/2147482810/280-10-50-30 + Details
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