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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
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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%ofix_PercentOfReportingSegmentRevenuesToRevenues | 100.00%ofix_PercentOfReportingSegmentRevenuesToRevenues | 100.00%ofix_PercentOfReportingSegmentRevenuesToRevenues
Net sales | $ 105,886 us-gaap_SalesRevenueNet | $ 91,806 us-gaap_SalesRevenueNet | $ 97,640 us-gaap_SalesRevenueNet | $ 102,279 us-gaap_SalesRevenueNet | $ 115,607 us-gaap_SalesRevenueNet | $ 105,818 us-gaap_SalesRevenueNet | $ 111,601 us-gaap_SalesRevenueNet | $ 107,163 us-gaap_SalesRevenueNet | $ 397,611 us-gaap_SalesRevenueNet | $ 440,189 us-gaap_SalesRevenueNet | $ 435,519 us-gaap_SalesRevenueNet
BioStim [Member] |  |  |  |  |  |  |  |  |  |  |
Sales Information [Line Items] |  |  |  |  |  |  |  |  |  |  |
Percent of Total Net Sales |  |  |  |  |  |  |  |  | 36.00%ofix_PercentOfReportingSegmentRevenuesToRevenues / us-gaap_StatementBusinessSegmentsAxis = ofix_BiostimMember | 40.00%ofix_PercentOfReportingSegmentRevenuesToRevenues / us-gaap_StatementBusinessSegmentsAxis = ofix_BiostimMember | 42.00%ofix_PercentOfReportingSegmentRevenuesToRevenues / us-gaap_StatementBusinessSegmentsAxis = ofix_BiostimMember
Net sales |  |  |  |  |  |  |  |  | 145,085 us-gaap_SalesRevenueNet / us-gaap_StatementBusinessSegmentsAxis = ofix_BiostimMember | 174,562 us-gaap_SalesRevenueNet / us-gaap_StatementBusinessSegmentsAxis = ofix_BiostimMember | 181,736 us-gaap_SalesRevenueNet / us-gaap_StatementBusinessSegmentsAxis = ofix_BiostimMember
Biologics [Member] |  |  |  |  |  |  |  |  |  |  |
Sales Information [Line Items] |  |  |  |  |  |  |  |  |  |  |
Percent of Total Net Sales |  |  |  |  |  |  |  |  | 14.00%ofix_PercentOfReportingSegmentRevenuesToRevenues / us-gaap_StatementBusinessSegmentsAxis = ofix_BiologicsMember | 12.00%ofix_PercentOfReportingSegmentRevenuesToRevenues / us-gaap_StatementBusinessSegmentsAxis = ofix_BiologicsMember | 10.00%ofix_PercentOfReportingSegmentRevenuesToRevenues / us-gaap_StatementBusinessSegmentsAxis = ofix_BiologicsMember
Net sales |  |  |  |  |  |  |  |  | 53,746 us-gaap_SalesRevenueNet / us-gaap_StatementBusinessSegmentsAxis = ofix_BiologicsMember | 53,731 us-gaap_SalesRevenueNet / us-gaap_StatementBusinessSegmentsAxis = ofix_BiologicsMember | 42,911 us-gaap_SalesRevenueNet / us-gaap_StatementBusinessSegmentsAxis = ofix_BiologicsMember
Extremity Fixation [Member] |  |  |  |  |  |  |  |  |  |  |
Sales Information [Line Items] |  |  |  |  |  |  |  |  |  |  |
Percent of Total Net Sales |  |  |  |  |  |  |  |  | 26.00%ofix_PercentOfReportingSegmentRevenuesToRevenues / us-gaap_StatementBusinessSegmentsAxis = ofix_ExtremityFixationMember | 25.00%ofix_PercentOfReportingSegmentRevenuesToRevenues / us-gaap_StatementBusinessSegmentsAxis = ofix_ExtremityFixationMember | 27.00%ofix_PercentOfReportingSegmentRevenuesToRevenues / us-gaap_StatementBusinessSegmentsAxis = ofix_ExtremityFixationMember
Net sales |  |  |  |  |  |  |  |  | 103,359 us-gaap_SalesRevenueNet / us-gaap_StatementBusinessSegmentsAxis = ofix_ExtremityFixationMember | 112,011 us-gaap_SalesRevenueNet / us-gaap_StatementBusinessSegmentsAxis = ofix_ExtremityFixationMember | 119,504 us-gaap_SalesRevenueNet / us-gaap_StatementBusinessSegmentsAxis = ofix_ExtremityFixationMember
Spine Fixation [Member] |  |  |  |  |  |  |  |  |  |  |
Sales Information [Line Items] |  |  |  |  |  |  |  |  |  |  |
Percent of Total Net Sales |  |  |  |  |  |  |  |  | 24.00%ofix_PercentOfReportingSegmentRevenuesToRevenues / us-gaap_StatementBusinessSegmentsAxis = ofix_SpineFixationMember | 23.00%ofix_PercentOfReportingSegmentRevenuesToRevenues / us-gaap_StatementBusinessSegmentsAxis = ofix_SpineFixationMember | 21.00%ofix_PercentOfReportingSegmentRevenuesToRevenues / us-gaap_StatementBusinessSegmentsAxis = ofix_SpineFixationMember
Net sales |  |  |  |  |  |  |  |  | $ 95,421 us-gaap_SalesRevenueNet / us-gaap_StatementBusinessSegmentsAxis = ofix_SpineFixationMember | $ 99,885 us-gaap_SalesRevenueNet / us-gaap_StatementBusinessSegmentsAxis = ofix_SpineFixationMember | $ 91,368 us-gaap_SalesRevenueNet / us-gaap_StatementBusinessSegmentsAxis = ofix_SpineFixationMember

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