Acquisition-Related Amortization and Remeasurement - Components of Acquisition-Related Amortization and Remeasurement (Detail) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2022	Dec. 31, 2021	Dec. 31, 2020
Research And Development Arrangement Contract To Perform For Others [Line Items]
Changes in fair value of contingent consideration	$ (17,200)	$ (3,575)	$ (7,300)
Amortization of acquired intangibles	8,196	7,907	6,801
Acquired IPR&D	1,600	1,500
Impairment of goodwill		11,756
Total	$ (7,404)	17,588	$ (499)
Global Orthopedics [Member]
Research And Development Arrangement Contract To Perform For Others [Line Items]
Impairment of goodwill		$ 11,756