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Business Segment Information - Schedule of Net Sales by SBU Reporting Segment (Detail) - USD ($) $ in Thousands	3 Months Ended		6 Months Ended
	Jun. 30, 2015	Jun. 30, 2014	Jun. 30, 2015	Jun. 30, 2014
Sales Information [Line Items]
Net Sales	$ 100,954	$ 100,985	$ 190,716	$ 200,999
Reported Increase (Decrease) (as percent)	0.00%		(5.00%)
Constant Currency Increase (Decrease) (as percent)	5.00%		(1.00%)
BioStim [Member]
Sales Information [Line Items]
Net Sales	$ 40,703	39,513	$ 78,403	76,650
Reported Increase (Decrease) (as percent)	3.00%		2.00%
Constant Currency Increase (Decrease) (as percent)	3.00%		2.00%
Biologics [Member]
Sales Information [Line Items]
Net Sales	$ 15,274	13,853	$ 29,235	26,863
Reported Increase (Decrease) (as percent)	10.00%		9.00%
Constant Currency Increase (Decrease) (as percent)	10.00%		9.00%
Extremity Fixation [Member]
Sales Information [Line Items]
Net Sales	$ 25,594	27,303	$ 47,409	54,369
Reported Increase (Decrease) (as percent)	(6.00%)		(13.00%)
Constant Currency Increase (Decrease) (as percent)	12.00%		2.00%
Spine Fixation [Member]
Sales Information [Line Items]
Net Sales	$ 19,383	$ 20,316	$ 35,669	$ 43,117
Reported Increase (Decrease) (as percent)	(5.00%)		(17.00%)
Constant Currency Increase (Decrease) (as percent)	(4.00%)		(17.00%)

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Total revenue from sale of goods and services rendered during the reporting period, in the normal course of business, reduced by sales returns and allowances, and sales discounts.

+ References

Reference 1: http://www.xbrl.org/2003/role/presentationRef



-Publisher FASB



-Name Accounting Standards Codification



-Topic 225



-SubTopic 10



-Section S99



-Paragraph 2



-Subparagraph (SX 210.5-03.1)



-URI http://asc.fasb.org/extlink&oid=26872669&loc=d3e20235-122688

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