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Segments
 9 Months Ended
Sep. 28, 2024
Segment Reporting [Abstract]  
Segments Segments
The Company’s two reportable segments are U.S. and International. U.S. segment revenues totaled $122,909, $106,227, $371,599 and $331,052 for the three months ended September 28, 2024 and September 30, 2023 and the nine months ended September 28, 2024 and September 30, 2023, respectively. International segment revenues totaled $16,055, $14,567, $48,039 and $45,870 for the three months ended September 28, 2024 and September 30, 2023 and the nine months ended September 28, 2024 and September 30, 2023, respectively. The Company’s products are primarily sold to orthopedists, musculoskeletal and sports medicine physicians, podiatrists, neurosurgeons and orthopedic spine surgeons, as well as to their patients. The Company does not disclose segment information by asset as the CODM does not review or use it to allocate resources or assess operating results and financial performance. Segment Adjusted EBITDA is the segment profitability metric reported to the Company’s CODM for purposes of decisions about allocation of resources to, and assessing performance of, each reportable segment.
The following table presents segment Adjusted EBITDA reconciled to loss before income taxes:
Three Months EndedNine Months Ended
September 28, 2024September 30, 2023September 28, 2024September 30, 2023
Segment Adjusted EBITDA
U.S.$19,662 $18,949 $71,008 $58,373 
International3,895 2,786 9,624 8,471 
Interest expense, net(9,532)(10,115)(29,795)(30,396)
Depreciation and amortization(12,275)(13,827)(37,150)(44,900)
Acquisition and related costs(483)(1,424)(994)(4,047)
Shareholder litigation costs(50)— (13,720)— 
Restructuring and succession charges(54)26 (67)(911)
Equity compensation(2,064)(1,833)(8,327)(947)
Financial restructuring costs(4)(478)(351)(7,065)
Impairments of assets(2,031)— (33,901)(78,615)
Loss on disposal of a business— (340)— (1,317)
Other items(1,896)(1,935)(5,685)(11,351)
Loss before income taxes$(4,832)$(8,191)$(49,358)$(112,705)