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Consolidated Statements of Operations and Comprehensive Income (Loss) (USD $)
In Thousands, except Share data, unless otherwise specified
 3 Months Ended 6 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, 2013
Dec. 31, 2012
Dec. 31, 2011
Dec. 31, 2010
Income Statement [Abstract]                          
Product sales                   $ 349,552ofix_RevenueFromProductSales $ 393,647ofix_RevenueFromProductSales $ 398,695ofix_RevenueFromProductSales  
Marketing service fees                   48,059ofix_MarketServiceRevenue 46,542ofix_MarketServiceRevenue 36,824ofix_MarketServiceRevenue  
Net sales 105,886us-gaap_SalesRevenueNet 91,806us-gaap_SalesRevenueNet 97,640us-gaap_SalesRevenueNet 102,279us-gaap_SalesRevenueNet 115,607us-gaap_SalesRevenueNet 105,818us-gaap_SalesRevenueNet 111,601us-gaap_SalesRevenueNet 107,163us-gaap_SalesRevenueNet   397,611us-gaap_SalesRevenueNet 440,189us-gaap_SalesRevenueNet 435,519us-gaap_SalesRevenueNet  
Cost of sales 34,123us-gaap_CostOfGoodsAndServicesSold 25,064us-gaap_CostOfGoodsAndServicesSold 21,884us-gaap_CostOfGoodsAndServicesSold 25,841us-gaap_CostOfGoodsAndServicesSold 26,751us-gaap_CostOfGoodsAndServicesSold 24,887us-gaap_CostOfGoodsAndServicesSold 24,943us-gaap_CostOfGoodsAndServicesSold 24,145us-gaap_CostOfGoodsAndServicesSold   106,912us-gaap_CostOfGoodsAndServicesSold 100,726us-gaap_CostOfGoodsAndServicesSold 96,415us-gaap_CostOfGoodsAndServicesSold  
Gross profit 71,763us-gaap_GrossProfit 66,742us-gaap_GrossProfit 75,756us-gaap_GrossProfit 76,438us-gaap_GrossProfit 88,856us-gaap_GrossProfit 80,931us-gaap_GrossProfit 86,658us-gaap_GrossProfit 83,018us-gaap_GrossProfit   290,699us-gaap_GrossProfit 339,463us-gaap_GrossProfit 339,104us-gaap_GrossProfit  
Operating expenses                          
Sales and marketing                   175,468us-gaap_SellingAndMarketingExpense 178,771us-gaap_SellingAndMarketingExpense 185,156us-gaap_SellingAndMarketingExpense  
General and administrative                   64,830us-gaap_GeneralAndAdministrativeExpense 53,650us-gaap_GeneralAndAdministrativeExpense 64,785us-gaap_GeneralAndAdministrativeExpense  
Research and development                   26,768us-gaap_ResearchAndDevelopmentExpense 28,577us-gaap_ResearchAndDevelopmentExpense 22,861us-gaap_ResearchAndDevelopmentExpense  
Amortization of intangible assets                   2,687us-gaap_AmortizationOfIntangibleAssets 2,298us-gaap_AmortizationOfIntangibleAssets 2,550us-gaap_AmortizationOfIntangibleAssets  
Costs related to the accounting review and restatement                   12,945ofix_AccountingReviewAndRestatementCosts      
Impairment of goodwill                 19,193us-gaap_GoodwillImpairmentLoss 19,193us-gaap_GoodwillImpairmentLoss       
Charges related to U.S. Government resolutions (Note 17)                     1,295us-gaap_GainLossRelatedToLitigationSettlement 57,141us-gaap_GainLossRelatedToLitigationSettlement  
Total operating expenses 81,842us-gaap_OperatingExpenses 80,843us-gaap_OperatingExpenses 68,836us-gaap_OperatingExpenses 70,370us-gaap_OperatingExpenses 62,338us-gaap_OperatingExpenses 63,988us-gaap_OperatingExpenses 70,036us-gaap_OperatingExpenses 68,229us-gaap_OperatingExpenses   301,891us-gaap_OperatingExpenses 264,591us-gaap_OperatingExpenses 332,493us-gaap_OperatingExpenses  
Operating (loss) income (10,079)us-gaap_OperatingIncomeLoss (14,101)us-gaap_OperatingIncomeLoss 6,920us-gaap_OperatingIncomeLoss 6,068us-gaap_OperatingIncomeLoss 26,518us-gaap_OperatingIncomeLoss 16,943us-gaap_OperatingIncomeLoss 16,622us-gaap_OperatingIncomeLoss 14,789us-gaap_OperatingIncomeLoss   (11,192)us-gaap_OperatingIncomeLoss 74,872us-gaap_OperatingIncomeLoss 6,611us-gaap_OperatingIncomeLoss  
Other income and (expense)                          
Interest expense, net                   (1,827)us-gaap_InterestExpense (4,161)us-gaap_InterestExpense (5,441)us-gaap_InterestExpense  
Other income (expense)                   2,416us-gaap_OtherNonoperatingIncomeExpense (1,646)us-gaap_OtherNonoperatingIncomeExpense (2,533)us-gaap_OtherNonoperatingIncomeExpense  
Total other income (expense)                   589us-gaap_NonoperatingIncomeExpense (5,807)us-gaap_NonoperatingIncomeExpense (7,974)us-gaap_NonoperatingIncomeExpense  
(Loss) income before income taxes                   (10,603)us-gaap_IncomeLossFromContinuingOperationsBeforeIncomeTaxesMinorityInterestAndIncomeLossFromEquityMethodInvestments 69,065us-gaap_IncomeLossFromContinuingOperationsBeforeIncomeTaxesMinorityInterestAndIncomeLossFromEquityMethodInvestments (1,363)us-gaap_IncomeLossFromContinuingOperationsBeforeIncomeTaxesMinorityInterestAndIncomeLossFromEquityMethodInvestments  
Income tax expense                   (7,602)us-gaap_IncomeTaxExpenseBenefit (23,944)us-gaap_IncomeTaxExpenseBenefit (14,443)us-gaap_IncomeTaxExpenseBenefit 6,028us-gaap_IncomeTaxExpenseBenefit
Net (loss) income from continuing operations (9,639)us-gaap_IncomeLossFromContinuingOperations (16,504)us-gaap_IncomeLossFromContinuingOperations 2,012us-gaap_IncomeLossFromContinuingOperations 5,926us-gaap_IncomeLossFromContinuingOperations 17,518us-gaap_IncomeLossFromContinuingOperations 9,312us-gaap_IncomeLossFromContinuingOperations 11,421us-gaap_IncomeLossFromContinuingOperations 6,870us-gaap_IncomeLossFromContinuingOperations   (18,205)us-gaap_IncomeLossFromContinuingOperations 45,121us-gaap_IncomeLossFromContinuingOperations (15,806)us-gaap_IncomeLossFromContinuingOperations  
Discontinued operations (Note 16)                          
Gain on sale of Breg, Inc., net of tax                      1,345us-gaap_DiscontinuedOperationGainLossOnDisposalOfDiscontinuedOperationNetOfTax    
Loss from discontinued operations                   (15,510)us-gaap_DiscontinuedOperationIncomeLossFromDiscontinuedOperationDuringPhaseOutPeriodBeforeIncomeTax (3,494)us-gaap_DiscontinuedOperationIncomeLossFromDiscontinuedOperationDuringPhaseOutPeriodBeforeIncomeTax (2,705)us-gaap_DiscontinuedOperationIncomeLossFromDiscontinuedOperationDuringPhaseOutPeriodBeforeIncomeTax  
Income tax benefit                   4,903us-gaap_DiscontinuedOperationTaxEffectOfIncomeLossFromDiscontinuedOperationDuringPhaseOutPeriod (120)us-gaap_DiscontinuedOperationTaxEffectOfIncomeLossFromDiscontinuedOperationDuringPhaseOutPeriod 813us-gaap_DiscontinuedOperationTaxEffectOfIncomeLossFromDiscontinuedOperationDuringPhaseOutPeriod  
Net loss from discontinued operations                   (10,607)us-gaap_IncomeLossFromDiscontinuedOperationsNetOfTaxAttributableToReportingEntity (2,269)us-gaap_IncomeLossFromDiscontinuedOperationsNetOfTaxAttributableToReportingEntity (1,892)us-gaap_IncomeLossFromDiscontinuedOperationsNetOfTaxAttributableToReportingEntity  
Net (loss) income (10,412)us-gaap_NetIncomeLoss (18,836)us-gaap_NetIncomeLoss (3,011)us-gaap_NetIncomeLoss 3,447us-gaap_NetIncomeLoss 22,954us-gaap_NetIncomeLoss 3,747us-gaap_NetIncomeLoss 8,802us-gaap_NetIncomeLoss 7,349us-gaap_NetIncomeLoss   (28,812)us-gaap_NetIncomeLoss 42,852us-gaap_NetIncomeLoss (17,698)us-gaap_NetIncomeLoss  
Net (loss) income per common share-basic:                          
Net (loss) income from continuing operations $ (0.53)us-gaap_IncomeLossFromContinuingOperationsPerBasicShare $ (0.91)us-gaap_IncomeLossFromContinuingOperationsPerBasicShare $ 0.11us-gaap_IncomeLossFromContinuingOperationsPerBasicShare $ 0.31us-gaap_IncomeLossFromContinuingOperationsPerBasicShare $ 0.91us-gaap_IncomeLossFromContinuingOperationsPerBasicShare $ 0.49us-gaap_IncomeLossFromContinuingOperationsPerBasicShare $ 0.61us-gaap_IncomeLossFromContinuingOperationsPerBasicShare $ 0.37us-gaap_IncomeLossFromContinuingOperationsPerBasicShare   $ (0.97)us-gaap_IncomeLossFromContinuingOperationsPerBasicShare $ 2.38us-gaap_IncomeLossFromContinuingOperationsPerBasicShare $ (0.87)us-gaap_IncomeLossFromContinuingOperationsPerBasicShare  
Net loss from discontinued operations                   $ (0.57)us-gaap_IncomeLossFromDiscontinuedOperationsNetOfTaxPerBasicShare $ (0.12)us-gaap_IncomeLossFromDiscontinuedOperationsNetOfTaxPerBasicShare $ (0.10)us-gaap_IncomeLossFromDiscontinuedOperationsNetOfTaxPerBasicShare  
Net (loss) income per common share-basic $ (0.58)us-gaap_EarningsPerShareBasic $ (1.04)us-gaap_EarningsPerShareBasic $ (0.16)us-gaap_EarningsPerShareBasic $ 0.18us-gaap_EarningsPerShareBasic $ 1.19us-gaap_EarningsPerShareBasic $ 0.20us-gaap_EarningsPerShareBasic $ 0.47us-gaap_EarningsPerShareBasic $ 0.39us-gaap_EarningsPerShareBasic   $ (1.54)us-gaap_EarningsPerShareBasic $ 2.26us-gaap_EarningsPerShareBasic $ (0.97)us-gaap_EarningsPerShareBasic  
Net (loss) income per common share-diluted:                          
Net (loss) income from continuing operations $ (0.53)us-gaap_IncomeLossFromContinuingOperationsPerDilutedShare $ (0.91)us-gaap_IncomeLossFromContinuingOperationsPerDilutedShare $ 0.10us-gaap_IncomeLossFromContinuingOperationsPerDilutedShare $ 0.30us-gaap_IncomeLossFromContinuingOperationsPerDilutedShare $ 0.89us-gaap_IncomeLossFromContinuingOperationsPerDilutedShare $ 0.48us-gaap_IncomeLossFromContinuingOperationsPerDilutedShare $ 0.59us-gaap_IncomeLossFromContinuingOperationsPerDilutedShare $ 0.36us-gaap_IncomeLossFromContinuingOperationsPerDilutedShare   $ (0.97)us-gaap_IncomeLossFromContinuingOperationsPerDilutedShare $ 2.33us-gaap_IncomeLossFromContinuingOperationsPerDilutedShare $ (0.87)us-gaap_IncomeLossFromContinuingOperationsPerDilutedShare  
Net loss from discontinued operations                   $ (0.57)us-gaap_IncomeLossFromDiscontinuedOperationsNetOfTaxPerDilutedShare $ (0.12)us-gaap_IncomeLossFromDiscontinuedOperationsNetOfTaxPerDilutedShare $ (0.10)us-gaap_IncomeLossFromDiscontinuedOperationsNetOfTaxPerDilutedShare  
Net (loss) income per common share-diluted $ (0.58)us-gaap_EarningsPerShareDiluted $ (1.04)us-gaap_EarningsPerShareDiluted $ (0.16)us-gaap_EarningsPerShareDiluted $ 0.18us-gaap_EarningsPerShareDiluted $ 1.17us-gaap_EarningsPerShareDiluted $ 0.19us-gaap_EarningsPerShareDiluted $ 0.46us-gaap_EarningsPerShareDiluted $ 0.38us-gaap_EarningsPerShareDiluted   $ (1.54)us-gaap_EarningsPerShareDiluted $ 2.21us-gaap_EarningsPerShareDiluted $ (0.97)us-gaap_EarningsPerShareDiluted  
Weighted average number of common shares:                          
Basic                   18,697,228us-gaap_WeightedAverageNumberOfSharesOutstandingBasic 18,977,263us-gaap_WeightedAverageNumberOfSharesOutstandingBasic 18,219,343us-gaap_WeightedAverageNumberOfSharesOutstandingBasic  
Diluted                   18,697,228us-gaap_WeightedAverageNumberOfDilutedSharesOutstanding 19,390,413us-gaap_WeightedAverageNumberOfDilutedSharesOutstanding 18,219,343us-gaap_WeightedAverageNumberOfDilutedSharesOutstanding  
Other comprehensive (loss) income , before tax:                          
Translation adjustment                   (1,708)us-gaap_OtherComprehensiveIncomeForeignCurrencyTransactionAndTranslationAdjustmentNetOfTaxPortionAttributableToParent 1,131us-gaap_OtherComprehensiveIncomeForeignCurrencyTransactionAndTranslationAdjustmentNetOfTaxPortionAttributableToParent (1,897)us-gaap_OtherComprehensiveIncomeForeignCurrencyTransactionAndTranslationAdjustmentNetOfTaxPortionAttributableToParent  
Unrealized gain (loss) on derivative instrument                   (443)us-gaap_OtherComprehensiveIncomeUnrealizedGainLossOnDerivativesArisingDuringPeriodTax 416us-gaap_OtherComprehensiveIncomeUnrealizedGainLossOnDerivativesArisingDuringPeriodTax (693)us-gaap_OtherComprehensiveIncomeUnrealizedGainLossOnDerivativesArisingDuringPeriodTax  
Other comprehensive income (loss), before tax                   (2,151)us-gaap_OtherComprehensiveIncomeAvailableforsaleSecuritiesAdjustmentBeforeTaxPortionAttributableToParent 1,547us-gaap_OtherComprehensiveIncomeAvailableforsaleSecuritiesAdjustmentBeforeTaxPortionAttributableToParent (2,590)us-gaap_OtherComprehensiveIncomeAvailableforsaleSecuritiesAdjustmentBeforeTaxPortionAttributableToParent  
Income tax related to components of other comprehensive income 164ofix_IncomeTaxExpenseBenefitRelatedToAccumulatedOtherComprehensiveIncome       (153)ofix_IncomeTaxExpenseBenefitRelatedToAccumulatedOtherComprehensiveIncome       164ofix_IncomeTaxExpenseBenefitRelatedToAccumulatedOtherComprehensiveIncome 164ofix_IncomeTaxExpenseBenefitRelatedToAccumulatedOtherComprehensiveIncome (153)ofix_IncomeTaxExpenseBenefitRelatedToAccumulatedOtherComprehensiveIncome 256ofix_IncomeTaxExpenseBenefitRelatedToAccumulatedOtherComprehensiveIncome  
Other comprehensive income (loss), net of tax                   (1,987)us-gaap_OtherComprehensiveIncomeLossNetOfTaxPortionAttributableToParent 1,394us-gaap_OtherComprehensiveIncomeLossNetOfTaxPortionAttributableToParent (2,334)us-gaap_OtherComprehensiveIncomeLossNetOfTaxPortionAttributableToParent  
Comprehensive (loss) income                   $ (30,799)us-gaap_ComprehensiveIncomeNetOfTax $ 44,246us-gaap_ComprehensiveIncomeNetOfTax $ (20,032)us-gaap_ComprehensiveIncomeNetOfTax