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Consolidated Statements of Cash Flows (USD $)
In Thousands, unless otherwise specified
 12 Months Ended
Dec. 31, 2013
Dec. 31, 2012
Dec. 31, 2011
Cash flows from operating activities:      
Net (loss) income $ (28,812)us-gaap_NetIncomeLoss $ 42,852us-gaap_NetIncomeLoss $ (17,698)us-gaap_NetIncomeLoss
Adjustments to reconcile net (loss) income to net cash provided by operating activities:      
Depreciation and amortization 22,822us-gaap_DepreciationDepletionAndAmortization 20,732us-gaap_DepreciationDepletionAndAmortization 23,182us-gaap_DepreciationDepletionAndAmortization
Amortization of debt costs 720us-gaap_AmortizationOfFinancingCosts 1,737us-gaap_AmortizationOfFinancingCosts 1,239us-gaap_AmortizationOfFinancingCosts
Amortization of exclusivity agreements 1,546ofix_AmortizationOfExclusivityAgreements 1,289ofix_AmortizationOfExclusivityAgreements 374ofix_AmortizationOfExclusivityAgreements
Provision for doubtful accounts 4,590us-gaap_ProvisionForDoubtfulAccounts 2,212us-gaap_ProvisionForDoubtfulAccounts 4,580us-gaap_ProvisionForDoubtfulAccounts
Deferred income taxes 2,829us-gaap_DeferredIncomeTaxExpenseBenefit 3,771us-gaap_DeferredIncomeTaxExpenseBenefit (13,941)us-gaap_DeferredIncomeTaxExpenseBenefit
Share-based compensation 6,267us-gaap_ShareBasedCompensation 6,303us-gaap_ShareBasedCompensation 6,648us-gaap_ShareBasedCompensation
Impairment of goodwill 19,193us-gaap_GoodwillImpairmentLoss     
Gain on sale of Breg, Inc., net of tax    (1,345)us-gaap_DiscontinuedOperationGainLossOnDisposalOfDiscontinuedOperationNetOfTax  
Excess income tax benefit on employee stock-based awards (82)us-gaap_ExcessTaxBenefitFromShareBasedCompensationOperatingActivities (1,020)us-gaap_ExcessTaxBenefitFromShareBasedCompensationOperatingActivities (1,737)us-gaap_ExcessTaxBenefitFromShareBasedCompensationOperatingActivities
Other 4,536us-gaap_OtherNoncashIncomeExpense 4,798us-gaap_OtherNoncashIncomeExpense 2,298us-gaap_OtherNoncashIncomeExpense
Changes in operating assets and liabilities, net of effect of dispositions:      
Trade accounts receivable 28,562us-gaap_IncreaseDecreaseInAccountsReceivable (11,128)us-gaap_IncreaseDecreaseInAccountsReceivable 6,645us-gaap_IncreaseDecreaseInAccountsReceivable
Inventories (3,213)us-gaap_IncreaseDecreaseInInventories (384)us-gaap_IncreaseDecreaseInInventories (12,705)us-gaap_IncreaseDecreaseInInventories
Escrow receivable    41,537us-gaap_IncreaseDecreaseInSecurityDeposits (32,562)us-gaap_IncreaseDecreaseInSecurityDeposits
Prepaid expenses and other current assets 8,764ofix_IncreaseDecreaseInPrepaidExpenseAndOtherCurrentAssets (14,575)ofix_IncreaseDecreaseInPrepaidExpenseAndOtherCurrentAssets 2,382ofix_IncreaseDecreaseInPrepaidExpenseAndOtherCurrentAssets
Trade accounts payable (2,280)us-gaap_IncreaseDecreaseInAccountsPayable 4,575us-gaap_IncreaseDecreaseInAccountsPayable 2,322us-gaap_IncreaseDecreaseInAccountsPayable
Charges related to U.S. Government resolutions    (83,178)us-gaap_IncreaseDecreaseInAccruedLiabilities 89,101us-gaap_IncreaseDecreaseInAccruedLiabilities
Other current liabilities 6,969us-gaap_IncreaseDecreaseInOtherCurrentLiabilities (5,239)us-gaap_IncreaseDecreaseInOtherCurrentLiabilities 3,516us-gaap_IncreaseDecreaseInOtherCurrentLiabilities
Other long-term assets (5,329)us-gaap_IncreaseDecreaseInOtherNoncurrentAssets (3,391)us-gaap_IncreaseDecreaseInOtherNoncurrentAssets (2,317)us-gaap_IncreaseDecreaseInOtherNoncurrentAssets
Other long-term liabilities (40)us-gaap_IncreaseDecreaseInOtherNoncurrentLiabilities 616us-gaap_IncreaseDecreaseInOtherNoncurrentLiabilities 3,403us-gaap_IncreaseDecreaseInOtherNoncurrentLiabilities
Net cash provided by operating activities 67,042us-gaap_NetCashProvidedByUsedInOperatingActivitiesContinuingOperations 10,162us-gaap_NetCashProvidedByUsedInOperatingActivitiesContinuingOperations 64,730us-gaap_NetCashProvidedByUsedInOperatingActivitiesContinuingOperations
Cash flows from investing activities:      
Capital expenditures for property, plant and equipment (24,787)us-gaap_PaymentsToAcquirePropertyPlantAndEquipment (27,994)us-gaap_PaymentsToAcquirePropertyPlantAndEquipment (24,965)us-gaap_PaymentsToAcquirePropertyPlantAndEquipment
Capital expenditures for intangible assets (4,891)us-gaap_PaymentsToAcquireIntangibleAssets (780)us-gaap_PaymentsToAcquireIntangibleAssets (793)us-gaap_PaymentsToAcquireIntangibleAssets
Payment made in connection with acquisition     (5,250)us-gaap_PaymentsToAcquireBusinessesNetOfCashAcquired
Purchase of other investments (1,374)us-gaap_PaymentsToAcquireInvestments (714)us-gaap_PaymentsToAcquireInvestments (468)us-gaap_PaymentsToAcquireInvestments
Proceeds from sale of other investments   878us-gaap_ProceedsFromSaleOfOtherInvestments  
Net proceeds from sale of Breg, Inc.    153,773us-gaap_ProceedsFromSaleOfLongtermInvestments  
Net cash (used in) provided by investing activities (31,052)us-gaap_NetCashProvidedByUsedInInvestingActivitiesContinuingOperations 125,163us-gaap_NetCashProvidedByUsedInInvestingActivitiesContinuingOperations (31,476)us-gaap_NetCashProvidedByUsedInInvestingActivitiesContinuingOperations
Cash flows from financing activities:      
Net proceeds from issuance of common shares 3,450us-gaap_ProceedsFromIssuanceOfCommonStock 25,586us-gaap_ProceedsFromIssuanceOfCommonStock 20,113us-gaap_ProceedsFromIssuanceOfCommonStock
Payment of refinancing fees and debt issuance costs      (758)us-gaap_PaymentsOfFinancingCosts
Repayments of long-term debt (16)us-gaap_RepaymentsOfSecuredDebt (188,695)us-gaap_RepaymentsOfSecuredDebt (7,500)us-gaap_RepaymentsOfSecuredDebt
Repayment of bank borrowings, net    (1,297)us-gaap_ProceedsFromRepaymentsOfShortTermDebt (2,561)us-gaap_ProceedsFromRepaymentsOfShortTermDebt
Changes in restricted cash (2,375)us-gaap_ProceedsFromRepaymentsOfRestrictedCashFinancingActivities 25,799us-gaap_ProceedsFromRepaymentsOfRestrictedCashFinancingActivities (24,178)us-gaap_ProceedsFromRepaymentsOfRestrictedCashFinancingActivities
Purchase of common stock (39,494)us-gaap_PaymentsForRepurchaseOfCommonStock    
Cash payment for purchase of minority interest in subsidiary      (517)us-gaap_PaymentsToAcquireAdditionalInterestInSubsidiaries
Excess income tax benefit on employee stock-based awards 82us-gaap_ExcessTaxBenefitFromShareBasedCompensationFinancingActivities 1,020us-gaap_ExcessTaxBenefitFromShareBasedCompensationFinancingActivities 1,737us-gaap_ExcessTaxBenefitFromShareBasedCompensationFinancingActivities
Net cash used in financing activities (38,353)us-gaap_NetCashProvidedByUsedInFinancingActivitiesContinuingOperations (137,587)us-gaap_NetCashProvidedByUsedInFinancingActivitiesContinuingOperations (13,664)us-gaap_NetCashProvidedByUsedInFinancingActivitiesContinuingOperations
Effect of exchange rate changes on cash 520us-gaap_EffectOfExchangeRateOnCashAndCashEquivalentsContinuingOperations 286us-gaap_EffectOfExchangeRateOnCashAndCashEquivalentsContinuingOperations (408)us-gaap_EffectOfExchangeRateOnCashAndCashEquivalentsContinuingOperations
Net (decrease) increase in cash and cash equivalents (1,843)us-gaap_CashAndCashEquivalentsPeriodIncreaseDecrease (1,976)us-gaap_CashAndCashEquivalentsPeriodIncreaseDecrease 19,182us-gaap_CashAndCashEquivalentsPeriodIncreaseDecrease
Cash and cash equivalents at the beginning of the year 30,767us-gaap_CashAndCashEquivalentsAtCarryingValue 32,743us-gaap_CashAndCashEquivalentsAtCarryingValue 13,561us-gaap_CashAndCashEquivalentsAtCarryingValue
Cash and cash equivalents at the end of the year 28,924us-gaap_CashAndCashEquivalentsAtCarryingValue 30,767us-gaap_CashAndCashEquivalentsAtCarryingValue 32,743us-gaap_CashAndCashEquivalentsAtCarryingValue
Cash paid during the year for:      
Interest 2,046us-gaap_InterestPaidNet 4,569us-gaap_InterestPaidNet 17,088us-gaap_InterestPaidNet
Income taxes $ 8,773us-gaap_IncomeTaxesPaid $ 18,268us-gaap_IncomeTaxesPaid $ 26,227us-gaap_IncomeTaxesPaid