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Income Taxes - Schedule of Tax Effects of Significant Temporary Differences Comprising Deferred Tax Assets and Liabilities (Detail) (USD $) In Thousands, unless otherwise specified | Dec. 31, 2013 | Dec. 31, 2012
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Income Tax Disclosure [Abstract] |  |
Intangible assets and goodwill | $ 4,798 us-gaap_DeferredTaxAssetsGoodwillAndIntangibleAssets | $ 5,338 us-gaap_DeferredTaxAssetsGoodwillAndIntangibleAssets
Inventories and related reserves | 20,769 us-gaap_DeferredTaxAssetsInventory | 19,626 us-gaap_DeferredTaxAssetsInventory
Deferred revenue and cost of goods sold | 11,577 ofix_DeferredTaxAssetsDeferredRevenueAndExpenses | 12,336 ofix_DeferredTaxAssetsDeferredRevenueAndExpenses
Other accruals and reserves | 4,778 ofix_DeferredTaxAssetsAccruedExpensesAndReserves | 6,149 ofix_DeferredTaxAssetsAccruedExpensesAndReserves
Accrued compensation | 3,942 us-gaap_DeferredTaxAssetsTaxDeferredExpenseCompensationAndBenefits | 3,791 us-gaap_DeferredTaxAssetsTaxDeferredExpenseCompensationAndBenefits
Allowance for doubtful accounts | 2,040 us-gaap_DeferredTaxAssetsTaxDeferredExpenseReservesAndAccrualsAllowanceForDoubtfulAccounts | 1,542 us-gaap_DeferredTaxAssetsTaxDeferredExpenseReservesAndAccrualsAllowanceForDoubtfulAccounts
Accrued interest | 18,063 ofix_DeferredTaxAssetsDeferredExpenseInterest | 17,995 ofix_DeferredTaxAssetsDeferredExpenseInterest
Net operating loss carryforwards | 34,979 us-gaap_DeferredTaxAssetsOperatingLossCarryforwards | 27,231 us-gaap_DeferredTaxAssetsOperatingLossCarryforwards
Other, net | 893 ofix_DeferredTaxAssetsLiabilitiesOtherNet | 590 ofix_DeferredTaxAssetsLiabilitiesOtherNet
Total | 101,839 us-gaap_DeferredTaxAssetsGross | 94,598 us-gaap_DeferredTaxAssetsGross
Valuation allowance | (31,772)us-gaap_DeferredTaxAssetsValuationAllowance | (26,361)us-gaap_DeferredTaxAssetsValuationAllowance
Deferred tax asset | 70,067 us-gaap_DeferredTaxAssetsNet | 68,237 us-gaap_DeferredTaxAssetsNet
Withholding taxes | (13,026)ofix_DeferredTaxLiabilitiesWithholdingTaxes | (11,351)ofix_DeferredTaxLiabilitiesWithholdingTaxes
Property, plant and equipment | (7,674)us-gaap_DeferredTaxLiabilitiesPropertyPlantAndEquipment | (8,226)us-gaap_DeferredTaxLiabilitiesPropertyPlantAndEquipment
Deferred tax liability | (20,700)us-gaap_DeferredTaxLiabilities | (19,577)us-gaap_DeferredTaxLiabilities
Net deferred tax assets | 49,367 us-gaap_DeferredTaxAssetsLiabilitiesNet | 48,660 us-gaap_DeferredTaxAssetsLiabilitiesNet
Current deferred tax assets | 39,999 us-gaap_DeferredTaxAssetsNetCurrent | 38,487 us-gaap_DeferredTaxAssetsNetCurrent
Non-current deferred tax assets | 22,394 us-gaap_DeferredTaxAssetsNetNoncurrent | 21,523 us-gaap_DeferredTaxAssetsNetNoncurrent
Current deferred tax liability |  |
Non-current deferred tax liability | (13,026)us-gaap_DeferredTaxLiabilitiesNoncurrent | (11,350)us-gaap_DeferredTaxLiabilitiesNoncurrent
Net deferred tax assets | $ 49,367 us-gaap_DeferredTaxAssetsLiabilitiesNet | $ 48,660 us-gaap_DeferredTaxAssetsLiabilitiesNet

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- Definition The tax effect as of the balance sheet date of the amount of the estimated future tax deductions arising from interest, which can only be deducted for tax purposes when actual interest is incurred, and which can only be realized if sufficient tax-basis income is generated in future periods to enable the deduction to be taken. + References No definition available. + Details
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- Definition The aggregate net tax effects as of the balance sheet date of the amount of estimated future tax deductions and future taxable income arising from other temporary differences not otherwise specified in the taxonomy. + References No definition available. + Details
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- Definition The cumulative amount of the estimated future tax effects attributable to the difference between the tax basis of withholding taxes and the basis of withholding taxes computed in accordance with generally accepted accounting principles. The difference in basis will increase future taxable income when such difference reverses. + References No definition available. + Details
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- Definition Amount before allocation of valuation allowances of deferred tax asset attributable to deductible temporary differences and carryforwards. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 740 -SubTopic 10 -Section 50 -Paragraph 2 -Subparagraph (b) -URI http://asc.fasb.org/extlink&oid=6907707&loc=d3e32537-109319 Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Glossary Deferred Tax Asset -URI http://asc.fasb.org/extlink&oid=6510090 + Details
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