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Income Taxes - Schedule of Effective Income Tax Rate Reconciliation for Continuing Operations (Detail) (USD $) In Thousands, unless otherwise specified | 12 Months Ended
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Dec. 31, 2013 | Dec. 31, 2012 | Dec. 31, 2011 | Dec. 31, 2010
Income Tax Disclosure [Abstract] |  |  |  |
Statutory U.S. federal income tax rate | 35.00%us-gaap_EffectiveIncomeTaxRateReconciliationAtFederalStatutoryIncomeTaxRate | 35.00%us-gaap_EffectiveIncomeTaxRateReconciliationAtFederalStatutoryIncomeTaxRate | 35.00%us-gaap_EffectiveIncomeTaxRateReconciliationAtFederalStatutoryIncomeTaxRate |
State taxes, net | (19.20%)us-gaap_EffectiveIncomeTaxRateReconciliationStateAndLocalIncomeTaxes | 3.70%us-gaap_EffectiveIncomeTaxRateReconciliationStateAndLocalIncomeTaxes | (132.70%)us-gaap_EffectiveIncomeTaxRateReconciliationStateAndLocalIncomeTaxes |
Foreign rate differential | 4.80%us-gaap_EffectiveIncomeTaxRateReconciliationForeignIncomeTaxRateDifferential | (4.20%)us-gaap_EffectiveIncomeTaxRateReconciliationForeignIncomeTaxRateDifferential | (113.60%)us-gaap_EffectiveIncomeTaxRateReconciliationForeignIncomeTaxRateDifferential |
Valuation allowance-foreign losses | (36.90%)us-gaap_EffectiveIncomeTaxRateReconciliationChangeInDeferredTaxAssetsValuationAllowance | 9.00%us-gaap_EffectiveIncomeTaxRateReconciliationChangeInDeferredTaxAssetsValuationAllowance | 361.30%us-gaap_EffectiveIncomeTaxRateReconciliationChangeInDeferredTaxAssetsValuationAllowance |
Italian subsidiary intangible | 21.60%us-gaap_EffectiveIncomeTaxRateReconciliationNondeductibleExpenseAmortization | (3.20%)us-gaap_EffectiveIncomeTaxRateReconciliationNondeductibleExpenseAmortization | 177.60%us-gaap_EffectiveIncomeTaxRateReconciliationNondeductibleExpenseAmortization |
Goodwill impairment | (60.90%)us-gaap_EffectiveIncomeTaxRateReconciliationNondeductibleExpenseImpairmentLosses |  |  |
Domestic manufacturing deduction | 2.20%us-gaap_EffectiveIncomeTaxRateReconciliationDeductionsQualifiedProductionActivities | (2.30%)us-gaap_EffectiveIncomeTaxRateReconciliationDeductionsQualifiedProductionActivities | 125.00%us-gaap_EffectiveIncomeTaxRateReconciliationDeductionsQualifiedProductionActivities |
Withholding taxes | (15.80%)ofix_EffectiveIncomeTaxRateReconciliationWithholdingTaxes | 2.40%ofix_EffectiveIncomeTaxRateReconciliationWithholdingTaxes | (123.00%)ofix_EffectiveIncomeTaxRateReconciliationWithholdingTaxes |
Settlement of U.S. Government resolutions |  | (1.80%)us-gaap_EffectiveIncomeTaxRateReconciliationTaxSettlementsDomestic | (698.50%)us-gaap_EffectiveIncomeTaxRateReconciliationTaxSettlementsDomestic |
Other items, net | (2.50%)us-gaap_EffectiveIncomeTaxRateReconciliationOtherAdjustments | (3.90%)us-gaap_EffectiveIncomeTaxRateReconciliationOtherAdjustments | 31.90%us-gaap_EffectiveIncomeTaxRateReconciliationOtherAdjustments |
Income tax expense/effective rate | (71.70%)us-gaap_EffectiveIncomeTaxRateContinuingOperations | 34.70%us-gaap_EffectiveIncomeTaxRateContinuingOperations | (1059.60%)us-gaap_EffectiveIncomeTaxRateContinuingOperations |
Statutory U.S. federal income tax rate | $ (3,711)us-gaap_IncomeTaxReconciliationIncomeTaxExpenseBenefitAtFederalStatutoryIncomeTaxRate | $ 24,179 us-gaap_IncomeTaxReconciliationIncomeTaxExpenseBenefitAtFederalStatutoryIncomeTaxRate | $ (477)us-gaap_IncomeTaxReconciliationIncomeTaxExpenseBenefitAtFederalStatutoryIncomeTaxRate |
State taxes, net | 2,039 us-gaap_IncomeTaxReconciliationStateAndLocalIncomeTaxes | 2,536 us-gaap_IncomeTaxReconciliationStateAndLocalIncomeTaxes | 1,809 us-gaap_IncomeTaxReconciliationStateAndLocalIncomeTaxes |
Foreign rate differential | (510)us-gaap_IncomeTaxReconciliationForeignIncomeTaxRateDifferential | (2,894)us-gaap_IncomeTaxReconciliationForeignIncomeTaxRateDifferential | 1,549 us-gaap_IncomeTaxReconciliationForeignIncomeTaxRateDifferential |
Valuation allowance-foreign losses | 3,913 us-gaap_IncomeTaxReconciliationChangeInDeferredTaxAssetsValuationAllowance | 6,189 us-gaap_IncomeTaxReconciliationChangeInDeferredTaxAssetsValuationAllowance | 4,924 us-gaap_IncomeTaxReconciliationChangeInDeferredTaxAssetsValuationAllowance |
Italian subsidiary intangible | (2,288)us-gaap_IncomeTaxReconciliationNondeductibleExpenseAmortization | (2,214)us-gaap_IncomeTaxReconciliationNondeductibleExpenseAmortization | (2,421)us-gaap_IncomeTaxReconciliationNondeductibleExpenseAmortization |
Goodwill impairment | 6,452 us-gaap_IncomeTaxReconciliationNondeductibleExpenseImpairmentLosses |  |  |
Domestic manufacturing deduction | (233)us-gaap_IncomeTaxReconciliationDeductionsQualifiedProductionActivities | (1,567)us-gaap_IncomeTaxReconciliationDeductionsQualifiedProductionActivities | (1,703)us-gaap_IncomeTaxReconciliationDeductionsQualifiedProductionActivities |
Withholding taxes | 1,676 ofix_IncomeTaxReconciliationWithholdingTaxes | 1,679 ofix_IncomeTaxReconciliationWithholdingTaxes | 1,676 ofix_IncomeTaxReconciliationWithholdingTaxes |
Settlement of U.S. Government resolutions |  | (1,260)us-gaap_IncomeTaxReconciliationTaxSettlementsDomestic | 9,520 us-gaap_IncomeTaxReconciliationTaxSettlementsDomestic |
Other items, net | 264 us-gaap_IncomeTaxReconciliationOtherAdjustments | (2,704)us-gaap_IncomeTaxReconciliationOtherAdjustments | (434)us-gaap_IncomeTaxReconciliationOtherAdjustments |
Income tax expense/effective rate | $ 7,602 us-gaap_IncomeTaxExpenseBenefit | $ 23,944 us-gaap_IncomeTaxExpenseBenefit | $ 14,443 us-gaap_IncomeTaxExpenseBenefit | $ (6,028)us-gaap_IncomeTaxExpenseBenefit

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- Definition Percentage of current income tax expense (benefit) and deferred income tax expense (benefit) pertaining to continuing operations. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 740 -SubTopic 10 -Section 50 -Paragraph 12 -URI http://asc.fasb.org/extlink&oid=6907707&loc=d3e32687-109319 Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 740 -SubTopic 10 -Section 50 -Paragraph 13 -URI http://asc.fasb.org/extlink&oid=6907707&loc=d3e32698-109319 Reference 3: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 235 -SubTopic 10 -Section S99 -Paragraph 1 -Subparagraph (SX 210.4-08.(h)(2)) -URI http://asc.fasb.org/extlink&oid=26873400&loc=d3e23780-122690 Reference 4: http://www.xbrl.org/2003/role/presentationRef -Publisher SEC -Name Regulation S-X (SX) -Number 210 -Section 08 -Paragraph h -Subparagraph 2 -Article 4 + Details
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- Definition Amount of the difference between reported income tax expense (benefit) and expected income tax expense (benefit) computed by applying the domestic federal statutory income tax rates to pretax income (loss) from continuing operations attributable to state and local income tax expense (benefit). + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 740 -SubTopic 10 -Section 50 -Paragraph 12 -URI http://asc.fasb.org/extlink&oid=6907707&loc=d3e32687-109319 Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 740 -SubTopic 10 -Section 50 -Paragraph 13 -URI http://asc.fasb.org/extlink&oid=6907707&loc=d3e32698-109319 Reference 3: http://www.xbrl.org/2003/role/presentationRef -Publisher SEC -Name Regulation S-X (SX) -Number 210 -Section 08 -Paragraph h -Subparagraph 1 -Article 4 + Details
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- Definition Amount of the difference between reported income tax expense (benefit) and expected income tax expense (benefit) computed by applying the domestic federal statutory income tax rates to pretax income (loss) from continuing operations attributable to domestic income tax settlement. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 740 -SubTopic 10 -Section 50 -Paragraph 12 -URI http://asc.fasb.org/extlink&oid=6907707&loc=d3e32687-109319 Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 740 -SubTopic 10 -Section 50 -Paragraph 13 -URI http://asc.fasb.org/extlink&oid=6907707&loc=d3e32698-109319 + Details
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