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Property and Equipment, net - Property and Equipment, Net (Details) - USD ($)
$ in Thousands
6 Months Ended
Jun. 30, 2024
Dec. 31, 2023
Property, Plant and Equipment [Line Items]    
Property and equipment, gross $ 335,613 $ 276,711
Less: accumulated depreciation and amortization (154,999) (126,876)
Property and equipment, net $ 180,614 149,835
Surgical instruments    
Property, Plant and Equipment [Line Items]    
Useful life (in years) 4 years  
Property and equipment, gross $ 280,261 224,357
Machinery and equipment    
Property, Plant and Equipment [Line Items]    
Useful life (in years) 7 years  
Property and equipment, gross $ 12,115 11,633
Computer equipment    
Property, Plant and Equipment [Line Items]    
Useful life (in years) 8 years  
Property and equipment, gross $ 30,520 5,778
Office furniture and equipment    
Property, Plant and Equipment [Line Items]    
Useful life (in years) 5 years  
Property and equipment, gross $ 6,701 6,225
Leasehold improvements    
Property, Plant and Equipment [Line Items]    
Useful lives various  
Property and equipment, gross $ 4,322 3,986
Construction in progress    
Property, Plant and Equipment [Line Items]    
Property and equipment, gross $ 1,694 $ 24,732