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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 | 6 Months Ended
--- | --- | ---
Jun. 30, 2018 | Jun. 30, 2017 | Jun. 30, 2018 | Jun. 30, 2017
Revenues From External Customers And Long Lived Assets [Line Items] |  |  |  |
Net sales | $ 111,547 | $ 108,942 | $ 220,256 | $ 211,680
BioStim [Member] |  |  |  |
Revenues From External Customers And Long Lived Assets [Line Items] |  |  |  |
Net sales | 48,211 | 47,174 | 94,374 | 91,713
Extremity Fixation [Member] |  |  |  |
Revenues From External Customers And Long Lived Assets [Line Items] |  |  |  |
Net sales | 24,788 | 24,747 | 52,292 | 48,692
Spine Fixation [Member] |  |  |  |
Revenues From External Customers And Long Lived Assets [Line Items] |  |  |  |
Net sales | 23,880 | 21,360 | 44,587 | 40,627
Biologics [Member] |  |  |  |
Revenues From External Customers And Long Lived Assets [Line Items] |  |  |  |
Net sales | 14,668 | 15,661 | 29,003 | 30,648
U.S. [Member] |  |  |  |
Revenues From External Customers And Long Lived Assets [Line Items] |  |  |  |
Net sales | 88,745 | 87,604 | 173,699 | 169,720
U.S. [Member] | BioStim [Member] |  |  |  |
Revenues From External Customers And Long Lived Assets [Line Items] |  |  |  |
Net sales | 48,202 | 47,162 | 94,339 | 91,701
U.S. [Member] | Extremity Fixation [Member] |  |  |  |
Revenues From External Customers And Long Lived Assets [Line Items] |  |  |  |
Net sales | 7,023 | 6,741 | 13,939 | 13,320
U.S. [Member] | Spine Fixation [Member] |  |  |  |
Revenues From External Customers And Long Lived Assets [Line Items] |  |  |  |
Net sales | 18,853 | 18,050 | 36,432 | 34,085
U.S. [Member] | Biologics [Member] |  |  |  |
Revenues From External Customers And Long Lived Assets [Line Items] |  |  |  |
Net sales | 14,667 | 15,651 | 28,989 | 30,614
International [Member] |  |  |  |
Revenues From External Customers And Long Lived Assets [Line Items] |  |  |  |
Net sales | 22,802 | 21,338 | 46,557 | 41,960
International [Member] | BioStim [Member] |  |  |  |
Revenues From External Customers And Long Lived Assets [Line Items] |  |  |  |
Net sales | 9 | 12 | 35 | 12
International [Member] | Extremity Fixation [Member] |  |  |  |
Revenues From External Customers And Long Lived Assets [Line Items] |  |  |  |
Net sales | 17,765 | 18,006 | 38,353 | 35,372
International [Member] | Spine Fixation [Member] |  |  |  |
Revenues From External Customers And Long Lived Assets [Line Items] |  |  |  |
Net sales | 5,027 | 3,310 | 8,155 | 6,542
International [Member] | Biologics [Member] |  |  |  |
Revenues From External Customers And Long Lived Assets [Line Items] |  |  |  |
Net sales | $ 1 | $ 10 | $ 14 | $ 34

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