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Business Segment Information - Schedule of Net Sales by SBU Reporting Segment (Detail) - USD ($) $ in Thousands	3 Months Ended		9 Months Ended
	Sep. 30, 2016	Sep. 30, 2015	Sep. 30, 2016	Sep. 30, 2015
Segment Reporting Information [Line Items]
Net Sales	$ 98,497	$ 101,151	$ 301,251	$ 291,867
Change	(2.60%)		3.20%
BioStim [Member]
Segment Reporting Information [Line Items]
Net Sales	$ 42,956	41,559	$ 128,758	119,962
Change	3.40%		7.30%
Biologics [Member]
Segment Reporting Information [Line Items]
Net Sales	$ 14,335	14,639	$ 42,685	43,874
Change	(2.10%)		(2.70%)
Extremity Fixation [Member]
Segment Reporting Information [Line Items]
Net Sales	$ 24,314	24,694	$ 75,840	72,103
Change	(1.50%)		5.20%
Spine Fixation [Member]
Segment Reporting Information [Line Items]
Net Sales	$ 16,892	$ 20,259	$ 53,968	$ 55,928
Change	(16.60%)		(3.50%)

X

- Definition

Percentage of reported increase decrease.

+ References

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X

- Definition

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=63488584&loc=d3e20235-122688

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- Definition

Line items represent financial concepts included in a table. These concepts are used to disclose reportable information associated with domain members defined in one or many axes to the table.

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