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Condensed Consolidated Statements of Income (Loss) and Comprehensive Income (Loss) (Detail) (USD $)
In Thousands, unless otherwise specified
 3 Months Ended 12 Months Ended
Dec. 31, 2012
Sep. 30, 2012
Jul. 01, 2012
Apr. 01, 2012
Dec. 31, 2011
Sep. 25, 2011
Jun. 26, 2011
Mar. 27, 2011
Dec. 31, 2012
Dec. 31, 2011
Dec. 31, 2010
Schedule of Condensed Consolidating Statement of Operations [Line Items]                      
Net revenues $ 419,056 [1] $ 368,054 [1] $ 383,332 [1],[2] $ 380,567 [1],[2],[3] $ 403,038 [1] $ 362,741 [1] $ 381,168 [1],[2] $ 345,581 [1],[2],[3] $ 1,551,009 $ 1,492,528 $ 1,397,722
Cost of goods sold                 802,784 783,750 718,883
Gross profit 199,180 [1] 180,567 [1] 184,364 [1],[2] 184,114 [1],[2],[3] 189,750 [1] 175,630 [1] 181,351 [1],[2] 162,047 [1],[2],[3] 748,225 708,778 678,839
Selling, general and administrative expenses                 454,489 423,909 403,635
Research and development expenses                 56,278 48,712 42,380
Goodwill impairment       332,100         332,128    
Restructuring and other impairment charges                 3,037 6,005 2,875
Net (gain) loss on sales of businesses and assets                 (332) 582 (341)
Income (loss) from continuing operations before interest, loss on extinguishments of debt and taxes 58,440 [1] 49,841 [1] 64,722 [1],[2] (270,378) [1],[2],[3] 63,072 [1] 61,905 [1] 55,882 [1],[2] 48,711 [1],[2],[3] (97,375) 229,570 230,290
Interest expense                 69,565 70,317 79,789
Interest income                 (1,571) (1,260) (719)
Loss on extinguishments of debt                   15,413 46,630
Income (loss) from continuing operations before taxes                 (165,369) 145,100 104,590
Taxes (benefit) on income (loss) from continuing operations                 16,413 25,778 16,918
Income (loss) from continuing operations 30,614 [1] 24,451 [1] 47,266 [1],[2] (284,113) [1],[2],[3] 41,803 [1] 32,921 [1] 31,098 [1],[2] 13,500 [1],[2],[3] (181,782) 119,322 87,672
Operating income (loss) from discontinued operations                 (9,207) 292,683 168,829
Taxes (benefit) on income (loss) from discontinued operations                 (1,887) 87,038 54,046
Income (loss) from discontinued operations (1,037) [1] (2,521) [1] (4,367) [1],[2] 605 [1],[2],[3] 126,418 [1] 11,144 [1] 3,389 [1],[2] 64,694 [1],[2],[3] (7,320) 205,645 114,783
Net income (loss) 29,577 [1] 21,930 [1] 42,899 [1],[2] (283,508) [1],[2],[3] 168,221 [1] 44,065 [1] 34,487 [1],[2] 78,194 [1],[2],[3] (189,102) 324,967 202,455
Less: Income from continuing operations attributable to noncontrolling interests 254 [1] 188 [1] 286 [1],[2] 227 [1],[2],[3] 251 [1] 289 [1] 258 [1],[2] 223 [1],[2],[3] 955 1,021 861
Income from discontinued operations attributable to noncontrolling interest         174 [1] 125 [1] 159 [1],[2] 159 [1],[2],[3]   617 500
Net income (loss) attributable to common shareholders 29,323 [1] 21,742 [1] 42,613 [1],[2] (283,735) [1],[2],[3] 167,796 [1] 43,651 [1] 34,070 [1],[2] 77,812 [1],[2],[3] (190,057) 323,329 201,094
Other comprehensive income (loss) attributable to common shareholders                 27,305 (107,473) (17,760)
Comprehensive income (loss) attributable to common shareholders                 (162,752) 215,856 183,334
Parent Company
                      
Schedule of Condensed Consolidating Statement of Operations [Line Items]                      
Selling, general and administrative expenses                 34,657 39,614 42,335
Restructuring and other impairment charges                   11 458
Net (gain) loss on sales of businesses and assets                 (116,193)   (420)
Income (loss) from continuing operations before interest, loss on extinguishments of debt and taxes                 81,536 (39,625) (42,373)
Interest expense                 143,653 138,460 133,873
Interest income                 (372) (384) (3)
Loss on extinguishments of debt                   15,413 46,630
Income (loss) from continuing operations before taxes                 (61,745) (193,114) (222,873)
Taxes (benefit) on income (loss) from continuing operations                 (63,806) (73,608) (84,729)
Equity in net income (loss) of consolidated subsidiaries                 (190,742) 473,311 323,824
Income (loss) from continuing operations                 (188,681) 353,805 185,680
Operating income (loss) from discontinued operations                 (2,647) (55,872) 13,999
Taxes (benefit) on income (loss) from discontinued operations                 (1,271) (25,396) (1,415)
Income (loss) from discontinued operations                 (1,376) (30,476) 15,414
Net income (loss)                 (190,057) 323,329 201,094
Net income (loss) attributable to common shareholders                 (190,057) 323,329 201,094
Other comprehensive income (loss) attributable to common shareholders                 27,305 (107,473) (17,760)
Comprehensive income (loss) attributable to common shareholders                 (162,752) 215,856 183,334
Guarantor Subsidiaries
                      
Schedule of Condensed Consolidating Statement of Operations [Line Items]                      
Net revenues                 950,888 923,000 893,671
Cost of goods sold                 552,726 552,606 504,802
Gross profit                 398,162 370,394 388,869
Selling, general and administrative expenses                 259,476 231,490 232,728
Research and development expenses                 48,649 41,648 37,092
Goodwill impairment                 331,779    
Restructuring and other impairment charges                 598 4,615 2,098
Net (gain) loss on sales of businesses and assets                 (149,240)   262
Income (loss) from continuing operations before interest, loss on extinguishments of debt and taxes                 (93,100) 92,641 116,689
Interest expense                 (81,328) (68,926) (75,472)
Interest income                 (23) (67) (141)
Income (loss) from continuing operations before taxes                 (11,749) 161,634 192,302
Taxes (benefit) on income (loss) from continuing operations                 45,068 52,667 49,417
Equity in net income (loss) of consolidated subsidiaries                 124,918 397,131 135,392
Income (loss) from continuing operations                 68,101 506,098 278,277
Operating income (loss) from discontinued operations                 (9,179) 40,287 15,180
Taxes (benefit) on income (loss) from discontinued operations                 (129) 88,582 7,624
Income (loss) from discontinued operations                 (9,050) (48,295) 7,556
Net income (loss)                 59,051 457,803 285,833
Net income (loss) attributable to common shareholders                 59,051 457,803 285,833
Other comprehensive income (loss) attributable to common shareholders                 10,475 (75,928) (11,721)
Comprehensive income (loss) attributable to common shareholders                 69,526 381,875 274,112
Non-Guarantor Subsidiaries
                      
Schedule of Condensed Consolidating Statement of Operations [Line Items]                      
Net revenues                 833,903 804,867 756,517
Cost of goods sold                 482,881 467,711 459,698
Gross profit                 351,022 337,156 296,819
Selling, general and administrative expenses                 160,089 152,573 128,402
Research and development expenses                 7,629 7,064 5,288
Goodwill impairment                 349    
Restructuring and other impairment charges                 2,439 1,379 319
Net (gain) loss on sales of businesses and assets                 (332) 582 (183)
Income (loss) from continuing operations before interest, loss on extinguishments of debt and taxes                 180,848 175,558 162,993
Interest expense                 7,240 783 21,388
Interest income                 (1,176) (809) (575)
Income (loss) from continuing operations before taxes                 174,784 175,584 142,180
Taxes (benefit) on income (loss) from continuing operations                 35,670 47,044 54,481
Income (loss) from continuing operations                 139,114 128,540 87,699
Operating income (loss) from discontinued operations                 2,619 308,268 139,650
Taxes (benefit) on income (loss) from discontinued operations                 (487) 23,852 47,837
Income (loss) from discontinued operations                 3,106 284,416 91,813
Net income (loss)                 142,220 412,956 179,512
Less: Income from continuing operations attributable to noncontrolling interests                 955 1,021 861
Income from discontinued operations attributable to noncontrolling interest                   617 500
Net income (loss) attributable to common shareholders                 141,265 411,318 178,151
Other comprehensive income (loss) attributable to common shareholders                 8,907 (75,737) (27,334)
Comprehensive income (loss) attributable to common shareholders                 150,172 335,581 150,817
Eliminations
                      
Schedule of Condensed Consolidating Statement of Operations [Line Items]                      
Net revenues                 (233,782) (235,339) (252,466)
Cost of goods sold                 (232,823) (236,567) (245,617)
Gross profit                 (959) 1,228 (6,849)
Selling, general and administrative expenses                 267 232 170
Net (gain) loss on sales of businesses and assets                 265,433    
Income (loss) from continuing operations before interest, loss on extinguishments of debt and taxes                 (266,659) 996 (7,019)
Income (loss) from continuing operations before taxes                 (266,659) 996 (7,019)
Taxes (benefit) on income (loss) from continuing operations                 (519) (325) (2,251)
Equity in net income (loss) of consolidated subsidiaries                 65,824 (870,442) (459,216)
Income (loss) from continuing operations                 (200,316) (869,121) (463,984)
Net income (loss)                 (200,316) (869,121) (463,984)
Net income (loss) attributable to common shareholders                 (200,316) (869,121) (463,984)
Other comprehensive income (loss) attributable to common shareholders                 (19,382) 151,665 39,055
Comprehensive income (loss) attributable to common shareholders                 $ (219,698) $ (717,456) $ (424,929)
[1] Amounts reflect the retrospective impact of reporting the orthopedic business as discontinued operations. See Note 19.
[2] The Company identified $0.1 million and $0.4 million, net of tax, of environmental costs related to discontinued operations that were erroneously reported in continuing operations during the first and second quarters of 2011, respectively, which did not change diluted earnings per share for the first quarter and increased diluted earnings per share by $0.01 for the second quarter. The Company has classified these environmental costs as income from discontinued operations. Management has determined that the impact of this error was not material on a quantitative or qualitative basis to the financial statements for the first and second quarters of fiscal 2011.
[3] Amounts include a pretax goodwill impairment charge of $332.1 million, or $315.1 million net of tax. See Note 5.