v3.26.3
Property and Equipment, net - Property and Equipment, Net (Details) - USD ($)
$ in Thousands
 9 Months Ended
Sep. 30, 2026
Dec. 31, 2025
Property, Plant, and Equipment [Line Items]    
Property and equipment, gross $ 398,493 $ 368,670
Less: accumulated depreciation and amortization (258,795) (233,346)
Property and equipment, net $ 139,698 135,324
Surgical instruments    
Property, Plant, and Equipment [Line Items]    
Useful lives (in years) 4 years  
Property and equipment, gross $ 339,319 311,517
Machinery and equipment    
Property, Plant, and Equipment [Line Items]    
Useful lives (in years) 7 years  
Property and equipment, gross $ 13,310 13,123
Computer equipment    
Property, Plant, and Equipment [Line Items]    
Useful lives (in years) 3 years  
Property and equipment, gross $ 33,109 32,434
Office furniture and equipment    
Property, Plant, and Equipment [Line Items]    
Useful lives (in years) 5 years  
Property and equipment, gross $ 6,409 6,548
Leasehold improvements    
Property, Plant, and Equipment [Line Items]    
Useful lives various  
Property and equipment, gross $ 4,500 4,402
Construction in progress    
Property, Plant, and Equipment [Line Items]    
Property and equipment, gross $ 1,846 $ 646