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Balance Sheet Details - Property and Equipment, Net (Details) - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2022
Dec. 31, 2021
Property, Plant and Equipment [Line Items]    
Property and equipment, gross $ 196,246 $ 160,125
Less: accumulated depreciation (94,294) (72,724)
Property and equipment, net $ 101,952 87,401
Surgical instruments    
Property, Plant and Equipment [Line Items]    
Useful Life (in years) 4 years  
Property and equipment, gross $ 158,906 130,432
Machinery and equipment    
Property, Plant and Equipment [Line Items]    
Useful Life (in years) 7 years  
Property and equipment, gross $ 9,502 11,092
Computer equipment    
Property, Plant and Equipment [Line Items]    
Useful Life (in years) 3 years  
Property and equipment, gross $ 4,753 5,694
Office furniture and equipment    
Property, Plant and Equipment [Line Items]    
Useful Life (in years) 5 years  
Property and equipment, gross $ 4,760 3,861
Leasehold improvements    
Property, Plant and Equipment [Line Items]    
Useful lives various  
Property and equipment, gross $ 2,965 1,754
Construction in progress    
Property, Plant and Equipment [Line Items]    
Property and equipment, gross $ 15,360 $ 7,292