v3.22.4

GOODWILL AND INTANGIBLE ASSETS - Narrative (Details)										12 Months Ended
	Jul. 01, 2022 USD ($)	Apr. 01, 2022 USD ($)	Oct. 20, 2021 USD ($) $ / shares shares	Sep. 03, 2021 USD ($)	Jul. 20, 2021 USD ($)	Mar. 19, 2021 USD ($)	Jun. 10, 2020 USD ($)	Apr. 01, 2020 USD ($)	Mar. 09, 2020 USD ($)	Dec. 31, 2022 USD ($) reportingUnit	Dec. 31, 2021 USD ($)	Dec. 31, 2020 USD ($)
Indefinite-lived Intangible Assets
Number of reporting units | reportingUnit										2
Amortization of expense										$ 5,977,000	$ 4,531,000	$ 3,246,000
Payments for asset acquisition										0	650,000	0
Share price | $ / shares			$ 64.83
Net Intangible Assets										14,921,000	14,268,000
Impairment of indefinitely-lived assets										3,609,000	0	$ 0
License agreements
Indefinite-lived Intangible Assets
Payments to acquire intangible assets						$ 2,858,000
Intellectual Property
Indefinite-lived Intangible Assets
Finite-lived intangible assets acquired							$ 3,394,000
Devise Ortho
Indefinite-lived Intangible Assets
Payments to acquire inventory			$ 108,000
Consideration to acquire assets			948,000
Payments for asset acquisition			$ 650,000
Shares issued as compensation (shares) | shares			4,599
Shares issued as compensation			$ 298,000
Devise Ortho | Patents
Indefinite-lived Intangible Assets
Payments to acquire intangible assets			$ 840,000
Intangible asset, useful life (in years)			16 years
7D Surgical FLASH | License agreements
Indefinite-lived Intangible Assets
Payments to acquire intangible assets				$ 750,000
Intangible asset, useful life (in years)				3 years
License agreement term (years)				5 years
FIREFLY Technology | License agreements
Indefinite-lived Intangible Assets
Payments to acquire intangible assets					$ 4,300,000
Finite lived intangible asset useful life extension period					5 years
ApiFix
Indefinite-lived Intangible Assets
Impairment of indefinitely-lived assets										3,609,000
ApiFix | Patents
Indefinite-lived Intangible Assets
Finite-lived intangible assets acquired								$ 31,720,000
MD Orthopaedics | Patents
Indefinite-lived Intangible Assets
Finite-lived intangible assets acquired		$ 2,660,000
Pega Medical | Patents
Indefinite-lived Intangible Assets
Finite-lived intangible assets acquired	$ 3,141,000
Trademarks Assets
Indefinite-lived Intangible Assets
Net Intangible Assets										14,921,000	$ 14,268,000
Impairment of indefinitely-lived assets										3,609,000
Trademarks and Trade Names | Telos
Indefinite-lived Intangible Assets
Indefinite-lived intangible assets acquired									$ 210,000
Trademarks and Trade Names | ApiFix
Indefinite-lived Intangible Assets
Indefinite-lived intangible assets acquired								$ 8,640,000
Trademarks and Trade Names | MD Orthopaedics
Indefinite-lived Intangible Assets
Indefinite-lived intangible assets acquired		$ 2,410,000								2,410,000
Trademarks and Trade Names | Pega Medical
Indefinite-lived Intangible Assets
Indefinite-lived intangible assets acquired	$ 3,040,000									$ 3,040,000

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