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Property and Equipment, net - Property and Equipment, Net (Details) - USD ($)
$ in Thousands
3 Months Ended
Mar. 31, 2022
Dec. 31, 2021
Property Plant And Equipment [Line Items]    
Property and equipment, gross $ 175,207 $ 160,125
Less: accumulated depreciation and amortization (79,022) (72,724)
Property and equipment, net $ 96,185 87,401
Surgical instruments    
Property Plant And Equipment [Line Items]    
Surgical instruments 4 years  
Property and equipment, gross $ 140,585 130,432
Machinery and equipment    
Property Plant And Equipment [Line Items]    
Surgical instruments 7 years  
Property and equipment, gross $ 11,135 11,092
Computer equipment    
Property Plant And Equipment [Line Items]    
Surgical instruments 3 years  
Property and equipment, gross $ 5,796 5,694
Office furniture and equipment    
Property Plant And Equipment [Line Items]    
Surgical instruments 5 years  
Property and equipment, gross $ 3,880 3,861
Leasehold improvements    
Property Plant And Equipment [Line Items]    
Leasehold improvements various  
Property and equipment, gross $ 1,748 1,754
Construction in progress    
Property Plant And Equipment [Line Items]    
Property and equipment, gross $ 12,063 $ 7,292