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Business Segment Information - Summary of Net Sales by Geographic Destination for Each Reporting Unit (Detail) - USD ($) $ in Thousands | 3 Months Ended
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Mar. 31, 2018 | Mar. 31, 2017
Revenues From External Customers And Long Lived Assets [Line Items] |  |
Net sales | $ 108,709 | $ 102,738
BioStim [Member] |  |
Revenues From External Customers And Long Lived Assets [Line Items] |  |
Net sales | 46,163 | 44,539
Extremity Fixation [Member] |  |
Revenues From External Customers And Long Lived Assets [Line Items] |  |
Net sales | 27,504 | 23,945
Spine Fixation [Member] |  |
Revenues From External Customers And Long Lived Assets [Line Items] |  |
Net sales | 20,707 | 19,267
Biologics [Member] |  |
Revenues From External Customers And Long Lived Assets [Line Items] |  |
Net sales | 14,335 | 14,987
U.S. [Member] |  |
Revenues From External Customers And Long Lived Assets [Line Items] |  |
Net sales | 84,954 | 82,116
U.S. [Member] | BioStim [Member] |  |
Revenues From External Customers And Long Lived Assets [Line Items] |  |
Net sales | 46,137 | 44,539
U.S. [Member] | Extremity Fixation [Member] |  |
Revenues From External Customers And Long Lived Assets [Line Items] |  |
Net sales | 6,916 | 6,579
U.S. [Member] | Spine Fixation [Member] |  |
Revenues From External Customers And Long Lived Assets [Line Items] |  |
Net sales | 17,579 | 16,035
U.S. [Member] | Biologics [Member] |  |
Revenues From External Customers And Long Lived Assets [Line Items] |  |
Net sales | 14,322 | 14,963
International [Member] |  |
Revenues From External Customers And Long Lived Assets [Line Items] |  |
Net sales | 23,755 | 20,622
International [Member] | BioStim [Member] |  |
Revenues From External Customers And Long Lived Assets [Line Items] |  |
Net sales | 26 |
International [Member] | Extremity Fixation [Member] |  |
Revenues From External Customers And Long Lived Assets [Line Items] |  |
Net sales | 20,588 | 17,366
International [Member] | Spine Fixation [Member] |  |
Revenues From External Customers And Long Lived Assets [Line Items] |  |
Net sales | 3,128 | 3,232
International [Member] | Biologics [Member] |  |
Revenues From External Customers And Long Lived Assets [Line Items] |  |
Net sales | $ 13 | $ 24

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- 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 + Details
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