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Property and Equipment, net - Property and Equipment, Net (Details) - USD ($)
$ in Thousands
9 Months Ended
Sep. 30, 2022
Dec. 31, 2021
Property Plant And Equipment [Line Items]    
Property and equipment, gross $ 185,662 $ 160,125
Less: accumulated depreciation and amortization (86,754) (72,724)
Property and equipment, net $ 98,908 87,401
Surgical instruments    
Property Plant And Equipment [Line Items]    
Useful life (in years) 4 years  
Property and equipment, gross $ 151,743 130,432
Machinery and equipment    
Property Plant And Equipment [Line Items]    
Useful life (in years) 7 years  
Property and equipment, gross $ 8,091 11,092
Computer equipment    
Property Plant And Equipment [Line Items]    
Useful life (in years) 3 years  
Property and equipment, gross $ 4,505 5,694
Office furniture and equipment    
Property Plant And Equipment [Line Items]    
Useful life (in years) 5 years  
Property and equipment, gross $ 4,358 3,861
Leasehold improvements    
Property Plant And Equipment [Line Items]    
Useful lives various  
Property and equipment, gross $ 2,863 1,754
Construction in progress    
Property Plant And Equipment [Line Items]    
Property and equipment, gross $ 14,102 $ 7,292