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Condensed Consolidating Statements of Income (Loss) and Comprehensive Income (Loss) (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
Schedule Of Condensed Consolidating Statement Of Operations [Line Items]                      
Net revenues $ 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
Cost of goods sold                 857,326 802,784 783,750
Gross profit 224,943 203,992 209,490 200,520 [1] 199,180 [2] 180,567 [2] 184,364 [2] 184,114 [1],[2] 838,945 748,225 708,778
Selling, general and administrative expenses                 502,187 454,489 423,909
Research and development expenses                 65,045 56,278 48,712
Goodwill impairment               332,100    332,128  
Restructuring and other impairment charges                 38,452 3,037 6,005
Net (gain) loss on sales of businesses and assets                    (332) 582
Income (loss) from continuing operations before interest, loss on extinguishments of debt and taxes 54,064 66,042 63,751 49,404 [1] 58,440 [2] 49,841 [2] 64,722 [2] (270,378) [1],[2] 233,261 (97,375) 229,570
Interest expense                 56,905 69,565 70,317
Interest income                 (624) (1,571) (1,260)
Loss on extinguishments of debt                 1,250    15,413
Income (loss) from continuing operations before taxes                 175,730 (165,369) 145,100
Taxes (benefit) on income (loss) from continuing operations                 23,547 16,413 25,778
Income (loss) from continuing operations 35,302 45,779 43,401 27,701 [1] 30,614 [2] 24,451 [2] 47,266 [2] (284,113) [1],[2] 152,183 (181,782) 119,322
Operating income (loss) from discontinued operations                 (2,205) (9,207) 292,683
Taxes (benefit) on income (loss) from discontinued operations                 (1,770) (1,887) 87,038
Income (loss) from discontinued operations (236) 1,029 (766) (462) [1] (1,037) [2] (2,521) [2] (4,367) [2] 605 [1],[2] (435) (7,320) 205,645
Net income (loss) 35,066 46,808 42,635 27,239 [1] 29,577 [2] 21,930 [2] 42,899 [2] (283,508) [1],[2] 151,748 (189,102) 324,967
Less: Income from continuing operations attributable to noncontrolling interest 238 234 194 201 [1] 254 [2] 188 [2] 286 [2] 227 [1],[2] 867 955 1,021
Income from discontinued operations attributable to noncontrolling interest                       617
Net income (loss) attributable to common shareholders 34,828 46,574 42,441 27,038 [1] 29,323 [2] 21,742 [2] 42,613 [2] (283,735) [1],[2] 150,881 (190,057) 323,329
Other comprehensive income (loss) attributable to common shareholders                 21,193 27,305 (107,473)
Comprehensive income (loss) attributable to common shareholders                 172,074 (162,752) 215,856
Consolidation, Eliminations
                      
Schedule Of Condensed Consolidating Statement Of Operations [Line Items]                      
Net revenues                 (268,317) (233,782) (235,339)
Cost of goods sold                 (268,501) (232,823) (236,567)
Gross profit                 184 (959) 1,228
Selling, general and administrative expenses                 (307) 267 232
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                 491 (266,659) 996
Loss on extinguishments of debt                        
Income (loss) from continuing operations before taxes                 491 (266,659) 996
Taxes (benefit) on income (loss) from continuing operations                 (754) (519) (325)
Equity in net income (loss) of consolidated subsidiaries                 (405,530) 65,824 (870,442)
Income (loss) from continuing operations                 (404,285) (200,316) (869,121)
Net income (loss)                 (404,285) (200,316) (869,121)
Income from discontinued operations attributable to noncontrolling interest                       
Net income (loss) attributable to common shareholders                 (404,285) (200,316) (869,121)
Other comprehensive income (loss) attributable to common shareholders                 (7,402) (19,382) 151,665
Comprehensive income (loss) attributable to common shareholders                 (411,687) (219,698) (717,456)
Parent Company
                      
Schedule Of Condensed Consolidating Statement Of Operations [Line Items]                      
Selling, general and administrative expenses                 39,176 34,657 39,614
Restructuring and other impairment charges                 935   11
Net (gain) loss on sales of businesses and assets                    (116,193)  
Income (loss) from continuing operations before interest, loss on extinguishments of debt and taxes                 (40,111) 81,536 (39,625)
Interest expense                 134,879 143,653 138,460
Interest income                 (15) (372) (384)
Loss on extinguishments of debt                 1,250    15,413
Income (loss) from continuing operations before taxes                 (176,225) (61,745) (193,114)
Taxes (benefit) on income (loss) from continuing operations                 (63,857) (63,806) (73,608)
Equity in net income (loss) of consolidated subsidiaries                 263,469 (190,742) 473,311
Income (loss) from continuing operations                 151,101 (188,681) 353,805
Operating income (loss) from discontinued operations                 (1,947) (2,647) (55,872)
Taxes (benefit) on income (loss) from discontinued operations                 (1,727) (1,271) (25,396)
Income (loss) from discontinued operations                 (220) (1,376) (30,476)
Net income (loss)                 150,881 (190,057) 323,329
Income from discontinued operations attributable to noncontrolling interest                       
Net income (loss) attributable to common shareholders                 150,881 (190,057) 323,329
Other comprehensive income (loss) attributable to common shareholders                 21,193 27,305 (107,473)
Comprehensive income (loss) attributable to common shareholders                 172,074 (162,752) 215,856
Guarantor Subsidiaries
                      
Schedule Of Condensed Consolidating Statement Of Operations [Line Items]                      
Net revenues                 1,001,404 950,888 923,000
Cost of goods sold                 582,110 552,726 552,606
Gross profit                 419,294 398,162 370,394
Selling, general and administrative expenses                 284,960 259,476 231,490
Research and development expenses                 55,694 48,649 41,648
Goodwill impairment                   331,779  
Restructuring and other impairment charges                 15,288 598 4,615
Net (gain) loss on sales of businesses and assets                    (149,240)  
Income (loss) from continuing operations before interest, loss on extinguishments of debt and taxes                 63,352 (93,100) 92,641
Interest expense                 (85,058) (81,328) (68,926)
Interest income                 (5) (23) (67)
Loss on extinguishments of debt                        
Income (loss) from continuing operations before taxes                 148,415 (11,749) 161,634
Taxes (benefit) on income (loss) from continuing operations                 42,804 45,068 52,667
Equity in net income (loss) of consolidated subsidiaries                 141,773 124,918 397,131
Income (loss) from continuing operations                 247,384 68,101 506,098
Operating income (loss) from discontinued operations                   (9,179) 40,287
Taxes (benefit) on income (loss) from discontinued operations                 (170) (129) 88,582
Income (loss) from discontinued operations                 170 (9,050) (48,295)
Net income (loss)                 247,554 59,051 457,803
Income from discontinued operations attributable to noncontrolling interest                       
Net income (loss) attributable to common shareholders                 247,554 59,051 457,803
Other comprehensive income (loss) attributable to common shareholders                 1,960 10,475 (75,928)
Comprehensive income (loss) attributable to common shareholders                 249,514 69,526 381,875
Non-Guarantor Subsidiaries
                      
Schedule Of Condensed Consolidating Statement Of Operations [Line Items]                      
Net revenues                 963,184 833,903 804,867
Cost of goods sold                 543,717 482,881 467,711
Gross profit                 419,467 351,022 337,156
Selling, general and administrative expenses                 178,358 160,089 152,573
Research and development expenses                 9,351 7,629 7,064
Goodwill impairment                   349  
Restructuring and other impairment charges                 22,229 2,439 1,379
Net (gain) loss on sales of businesses and assets                    (332) 582
Income (loss) from continuing operations before interest, loss on extinguishments of debt and taxes                 209,529 180,848 175,558
Interest expense                 7,084 7,240 783
Interest income                 (604) (1,176) (809)
Loss on extinguishments of debt                        
Income (loss) from continuing operations before taxes                 203,049 174,784 175,584
Taxes (benefit) on income (loss) from continuing operations                 45,354 35,670 47,044
Equity in net income (loss) of consolidated subsidiaries                 288    
Income (loss) from continuing operations                 157,983 139,114 128,540
Operating income (loss) from discontinued operations                 (258) 2,619 308,268
Taxes (benefit) on income (loss) from discontinued operations                 127 (487) 23,852
Income (loss) from discontinued operations                 (385) 3,106 284,416
Net income (loss)                 157,598 142,220 412,956
Less: Income from continuing operations attributable to noncontrolling interest                 867 955 1,021
Income from discontinued operations attributable to noncontrolling interest                     617
Net income (loss) attributable to common shareholders                 156,731 141,265 411,318
Other comprehensive income (loss) attributable to common shareholders                 5,442 8,907 (75,737)
Comprehensive income (loss) attributable to common shareholders                 $ 162,173 $ 150,172 $ 335,581
[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.