v3.26.1
Property and Equipment, net - Property and Equipment, Net (Details) - USD ($)
$ in Thousands
6 Months Ended
Jun. 30, 2026
Dec. 31, 2025
Property, Plant and Equipment [Line Items]    
Property and equipment, gross $ 385,281 $ 368,670
Less: accumulated depreciation and amortization (246,044) (233,346)
Property and equipment, net $ 139,237 135,324
Surgical instruments    
Property, Plant and Equipment [Line Items]    
Useful lives (in years) 4 years  
Property and equipment, gross $ 326,459 311,517
Machinery and equipment    
Property, Plant and Equipment [Line Items]    
Useful lives (in years) 7 years  
Property and equipment, gross $ 13,342 13,123
Computer equipment    
Property, Plant and Equipment [Line Items]    
Useful lives (in years) 3 years  
Property and equipment, gross $ 32,718 32,434
Office furniture and equipment    
Property, Plant and Equipment [Line Items]    
Useful lives (in years) 5 years  
Property and equipment, gross $ 6,278 6,548
Leasehold improvements    
Property, Plant and Equipment [Line Items]    
Useful lives various  
Property and equipment, gross $ 4,414 4,402
Construction in progress    
Property, Plant and Equipment [Line Items]    
Property and equipment, gross $ 2,070 $ 646