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Property and Equipment, net - Property and Equipment, Net (Details) - USD ($)
$ in Thousands
3 Months Ended
Mar. 31, 2023
Dec. 31, 2022
Property Plant And Equipment [Line Items]    
Property and equipment, gross $ 211,937 $ 196,246
Less: accumulated depreciation and amortization (102,187) (94,294)
Property and equipment, net $ 109,750 101,952
Surgical instruments    
Property Plant And Equipment [Line Items]    
Useful life (in years) 4 years  
Property and equipment, gross $ 170,108 158,906
Machinery and equipment    
Property Plant And Equipment [Line Items]    
Useful life (in years) 7 years  
Property and equipment, gross $ 9,313 9,502
Computer equipment    
Property Plant And Equipment [Line Items]    
Useful life (in years) 3 years  
Property and equipment, gross $ 5,051 4,753
Office furniture and equipment    
Property Plant And Equipment [Line Items]    
Useful life (in years) 5 years  
Property and equipment, gross $ 6,237 4,760
Leasehold improvements    
Property Plant And Equipment [Line Items]    
Useful lives various  
Property and equipment, gross $ 3,180 2,965
Construction in progress    
Property Plant And Equipment [Line Items]    
Property and equipment, gross $ 18,048 $ 15,360