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Business segment information - Schedule of Contribution Margin From Continuing Operations by SBU Reporting Segment (Detail) (USD $) In Thousands, unless otherwise specified	3 Months Ended		9 Months Ended
	Sep. 30, 2013	Sep. 30, 2012	Sep. 30, 2013	Sep. 30, 2012
Sales Information [Line Items]
Total net margin	$ 26,436	$ 40,451	$ 92,262	$ 119,682
General and administrative	13,202	13,850	46,736	42,715
Research and development	6,361	6,858	20,653	23,160
Amortization of intangible assets	616	565	1,725	1,725
Costs related to the accounting review and restatement	2,664		2,664
Impairment of goodwill	19,193		19,193
Charges related to U.S. Government resolutions		373		1,059
Operating income (loss)	(15,600)	18,805	1,291	51,023
BioStim [Member]
Sales Information [Line Items]
Total net margin	10,614	19,367	45,911	66,354
Impairment of goodwill
Biologics [Member]
Sales Information [Line Items]
Total net margin	6,743	5,664	18,472	16,524
Impairment of goodwill
Spine Fixation [Member]
Sales Information [Line Items]
Total net margin	1,227	4,693	7,489	13,379
Impairment of goodwill	9,368
Extremity Fixation [Member]
Sales Information [Line Items]
Total net margin	8,321	11,145	21,766	24,508
Impairment of goodwill	9,825
Corporate [Member]
Sales Information [Line Items]
Total net margin	$ (469)	$ (418)	$ (1,376)	$ (1,083)

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The net proceeds or assets obtained in excess of (less than) the net carrying amount of assets recorded, or assets distributed and liabilities assumed less than (in excess of) estimated litigation liability extinguished, in settlement of a litigation matter. Represents (for other than an insurance entity in its normal claims settlement process), the amount of income (expense) recognized in the period to settle pending or threatened litigation and insurance claims.

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Loss recognized during the period that results from the write-down of goodwill after comparing the implied fair value of reporting unit goodwill with the carrying amount of that goodwill. Goodwill is assessed at least annually for impairment.

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