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Business Segment Information - Schedule of External Net Sales by SBU Reporting Segment (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
Sales Information [Line Items]
Percent of Total Net Sales									100.00%	100.00%	100.00%
Net sales	$ 106,143	$ 92,738	$ 98,280	$ 103,373	$ 117,365	$ 107,857	$ 113,423	$ 108,936	$ 400,534	$ 447,581	$ 441,971
BioStim [Member]
Sales Information [Line Items]
Percent of Total Net Sales									37.00%	41.00%	43.00%
Net sales									147,910	181,959	188,136
Biologics [Member]
Sales Information [Line Items]
Percent of Total Net Sales									13.00%	12.00%	10.00%
Net sales									53,769	53,730	42,919
Spine Fixation [Member]
Sales Information [Line Items]
Percent of Total Net Sales									24.00%	22.00%	20.00%
Net sales									95,470	99,883	91,395
Extremity Fixation [Member]
Sales Information [Line Items]
Percent of Total Net Sales									26.00%	25.00%	27.00%
Net sales									$ 103,385	$ 112,009	$ 119,521

X

- Definition

Represents the revenues of a reporting segment as a percent of total revenues of the reporting entity.

+ References

No definition available.

+ Details

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X

- Details

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X

- Definition

Total revenue from sale of goods and services rendered during the reporting period, in the normal course of business, reduced by sales returns and allowances, and sales discounts.

+ References

Reference 1: http://www.xbrl.org/2003/role/presentationRef

-Publisher FASB

-Name Accounting Standards Codification

-Topic 225

-SubTopic 10

-Section S99

-Paragraph 2

-Subparagraph (SX 210.5-03.1)

-URI http://asc.fasb.org/extlink&oid=26872669&loc=d3e20235-122688



Reference 2: http://www.xbrl.org/2003/role/presentationRef

-Publisher SEC

-Name Regulation S-X (SX)

-Number 210

-Section 03

-Paragraph 1

-Article 5

+ Details

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