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Segment Result (Detail) (USD $)
In Thousands, unless otherwise specified
 3 Months Ended 12 Months Ended
Dec. 31, 2013
Sep. 30, 2013
Jun. 30, 2013
Mar. 31, 2013
Dec. 31, 2012
Sep. 30, 2012
Jun. 30, 2012
Mar. 31, 2012
Dec. 31, 2013
Dec. 31, 2012
Dec. 31, 2011
Revenues From External Customers And Long Lived Assets [Line Items]                      
Revenue $ 450,539 $ 413,796 $ 420,059 $ 411,877 [1] $ 419,056 [2] $ 368,054 [2] $ 383,332 [2] $ 380,567 [1],[2] $ 1,696,271 $ 1,551,009 $ 1,492,528
Segment assets 4,209,007       3,733,687       4,209,007 3,733,687 3,924,103
Segment expenditures for property, plant and equipment                 63,580 65,394 44,582
Restructuring and other impairment charges                 38,452 3,037 6,005
Operating Segments
                      
Revenues From External Customers And Long Lived Assets [Line Items]                      
Revenue                 1,696,271 1,551,009 1,492,528
Segment depreciation and amortization                 107,935 94,884 96,496
Segment operating profit                 271,713 [3] 237,458 [3] 236,157 [3]
Segment assets 3,577,768       3,211,466       3,577,768 3,211,466 3,095,752
Segment expenditures for property, plant and equipment                 62,420 58,042 41,415
Restructuring and other impairment charges                 38,452 3,037 6,005
Operating Segments | Americas Segment
                      
Revenues From External Customers And Long Lived Assets [Line Items]                      
Revenue                 800,464 726,810 688,036
Segment depreciation and amortization                 69,653 64,174 65,580
Segment operating profit                 97,386 [3] 91,627 [3] 90,046 [3]
Segment assets 2,266,161       1,947,583       2,266,161 1,947,583 2,078,850
Segment expenditures for property, plant and equipment                 47,554 32,023 23,203
Restructuring and other impairment charges                 18,265 743 4,626
Operating Segments | EMEA Segment
                      
Revenues From External Customers And Long Lived Assets [Line Items]                      
Revenue                 557,427 510,248 525,277
Segment depreciation and amortization                 28,938 22,974 23,419
Segment operating profit                 76,199 [3] 54,746 [3] 74,311 [3]
Segment assets 1,008,329       985,069       1,008,329 985,069 789,978
Segment expenditures for property, plant and equipment                 11,487 14,717 11,843
Restructuring and other impairment charges                 19,007 2,294 1,379
Operating Segments | Asia Segment
                      
Revenues From External Customers And Long Lived Assets [Line Items]                      
Revenue                 207,207 173,721 149,585
Segment depreciation and amortization                 4,774 3,653 3,848
Segment operating profit                 70,800 [3] 59,421 [3] 47,101 [3]
Segment assets 240,535       245,578       240,535 245,578 199,684
Segment expenditures for property, plant and equipment                 754 472 804
Restructuring and other impairment charges                 592     
Operating Segments | OEM
                      
Revenues From External Customers And Long Lived Assets [Line Items]                      
Revenue                 131,173 140,230 129,630
Segment depreciation and amortization                 4,570 4,083 3,649
Segment operating profit                 27,328 [3] 31,664 [3] 24,699 [3]
Segment assets 62,743       33,236       62,743 33,236 27,240
Segment expenditures for property, plant and equipment                 2,625 10,830 5,565
Restructuring and other impairment charges                 588     
Intersegment Eliminations
                      
Revenues From External Customers And Long Lived Assets [Line Items]                      
Intersegment revenues                       
Intersegment Eliminations | Americas Segment
                      
Revenues From External Customers And Long Lived Assets [Line Items]                      
Intersegment revenues                 128,512 135,499 137,499
Intersegment Eliminations | EMEA Segment
                      
Revenues From External Customers And Long Lived Assets [Line Items]                      
Intersegment revenues                 153,951 76,967 67,199
Intersegment Eliminations | Asia Segment
                      
Revenues From External Customers And Long Lived Assets [Line Items]                      
Intersegment revenues                 40,579 4,660 1
Intersegment Eliminations | OEM
                      
Revenues From External Customers And Long Lived Assets [Line Items]                      
Intersegment revenues                 $ 519 $ 422 $ 464
[1] Amounts for the first quarter 2012 include a pretax goodwill impairment charge of $332.1 million, or $315.1 million net of tax. See Note 7 to the consolidated financial statements.
[2] Amounts reflect the retrospective impact of reporting the orthopedic business as discontinued operations. See Note 18 to the consolidated financial statements.
[3] Segment operating profit includes a segment’s net revenues from external customers reduced by its cost of goods sold, selling, general and administrative expenses, research and development expenses and an allocation of corporate expenses. Segment operating profit excludes goodwill impairment charges, restructuring and impairment charges, net (gain) loss on sales of businesses and assets, interest income and expense, loss on extinguishment of debt and taxes on income.