v3.26.1
Property and Equipment, net - Property and Equipment, Net (Details) - USD ($)
$ in Thousands
3 Months Ended
Mar. 31, 2026
Dec. 31, 2025
Property, Plant and Equipment [Line Items]    
Property and equipment, gross $ 383,343 $ 368,670
Less: accumulated depreciation and amortization (245,298) (233,346)
Property and equipment, net $ 138,045 135,324
Surgical instruments    
Property, Plant and Equipment [Line Items]    
Useful lives (in years) 4 years  
Property and equipment, gross $ 325,432 311,517
Machinery and equipment    
Property, Plant and Equipment [Line Items]    
Useful lives (in years) 7 years  
Property and equipment, gross $ 13,208 13,123
Computer equipment    
Property, Plant and Equipment [Line Items]    
Useful lives (in years) 3 years  
Property and equipment, gross $ 32,687 32,434
Office furniture and equipment    
Property, Plant and Equipment [Line Items]    
Useful lives (in years) 5 years  
Property and equipment, gross $ 6,264 6,548
Leasehold improvements    
Property, Plant and Equipment [Line Items]    
Useful lives various  
Property and equipment, gross $ 4,421 4,402
Construction in progress    
Property, Plant and Equipment [Line Items]    
Property and equipment, gross $ 1,331 $ 646