Fair Value Measurement Contingent Consideration (Details) $ in Thousands	12 Months Ended
Dec. 31, 2023 USD ($)	Dec. 31, 2022 USD ($)	Dec. 31, 2021 USD ($)
Reconciliation of Beginning and Ending Balances of Contingent Consideration [Abstract]
Non-cash adjustment to fair value of contingent consideration liability	$ (2,421)	$ 2,518	$ 0
Business Combination, Contingent Consideration, Liability, Current	77,600	18,600
Business Combination, Contingent Consideration, Liability, Noncurrent	92,500	167,800
In2Bones Global Inc
Reconciliation of Beginning and Ending Balances of Contingent Consideration [Abstract]
Business Combination, Contingent Consideration, Liability Beginning of Year	70,198	0
Purchase price contingent consideration		69,402
Payments	(13,867)
Non-cash adjustment to fair value of contingent consideration liability	(14,938)	796
Business Combination, Contingent Consideration, Liability End of Year	$ 41,393	70,198	0
In2Bones Global Inc \| Fair Value, Inputs, Level 3 \| Fair Value, Recurring \| Measurement Input, Discount Rate
Reconciliation of Beginning and Ending Balances of Contingent Consideration [Abstract]
Business Combination, Contingent Consideration, Liability, Measurement Input	0.0762
In2Bones Global Inc \| Fair Value, Inputs, Level 3 \| Fair Value, Recurring \| Measurement Input, Revenue Volatility
Reconciliation of Beginning and Ending Balances of Contingent Consideration [Abstract]
Business Combination, Contingent Consideration, Liability, Measurement Input	0.1549
Biorez Inc
Reconciliation of Beginning and Ending Balances of Contingent Consideration [Abstract]
Business Combination, Contingent Consideration, Liability Beginning of Year	$ 116,234	0
Purchase price contingent consideration		114,512
Payments	0
Non-cash adjustment to fair value of contingent consideration liability	12,517	1,722
Business Combination, Contingent Consideration, Liability End of Year	$ 128,751	$ 116,234	$ 0
Biorez Inc \| Fair Value, Inputs, Level 3 \| Fair Value, Recurring \| Measurement Input, Discount Rate
Reconciliation of Beginning and Ending Balances of Contingent Consideration [Abstract]
Business Combination, Contingent Consideration, Liability, Measurement Input	0.1225
Biorez Inc \| Fair Value, Inputs, Level 3 \| Fair Value, Recurring \| Measurement Input, Revenue Volatility
Reconciliation of Beginning and Ending Balances of Contingent Consideration [Abstract]
Business Combination, Contingent Consideration, Liability, Measurement Input	0.2139

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Amount of increase (decrease) in the value of a contingent consideration liability, including, but not limited to, differences arising upon settlement.

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Amount of liability recognized arising from contingent consideration in a business combination.

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