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Business Segment Information - Summary of Non-GAAP Net Margin by Reporting Segment (Detail) - USD ($) $ in Thousands	3 Months Ended		6 Months Ended
	Jun. 30, 2018	Jun. 30, 2017	Jun. 30, 2018	Jun. 30, 2017
Segment Reporting Information [Line Items]
Non-GAAP net margin	$ 37,183	$ 35,294	$ 71,477	$ 66,919
General and administrative	22,268	20,409	41,752	38,691
Research and development	7,891	6,887	14,828	14,311
Operating income	7,024	7,998	14,897	13,917
Interest income (expense), net	(251)	76	(434)	121
Other income (expense), net	(4,752)	585	(1,840)	(3,763)
Income before income taxes	2,021	8,659	12,623	10,275
Operating Segments [Member] | BioStim [Member]
Segment Reporting Information [Line Items]
Non-GAAP net margin	21,298	19,469	40,244	36,602
Operating Segments [Member] | Biologics [Member]
Segment Reporting Information [Line Items]
Non-GAAP net margin	6,247	6,470	12,327	12,641
Operating Segments [Member] | Extremity Fixation [Member]
Segment Reporting Information [Line Items]
Non-GAAP net margin	7,002	6,766	15,160	13,178
Operating Segments [Member] | Spine Fixation [Member]
Segment Reporting Information [Line Items]
Non-GAAP net margin	2,887	2,696	4,148	4,703
Corporate, Non-Segment [Member]
Segment Reporting Information [Line Items]
Non-GAAP net margin	(251)	(107)	(402)	(205)
Material Reconciling Items [Member]
Segment Reporting Information [Line Items]
General and administrative	22,268	20,409	41,752	38,691
Research and development	$ 7,891	$ 6,887	$ 14,828	$ 14,311

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The aggregate total of expenses of managing and administering the affairs of an entity, including affiliates of the reporting entity, which are not directly or indirectly associated with the manufacture, sale or creation of a product or product line.

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Amount of income (loss) from continuing operations, including income (loss) from equity method investments, before deduction of income tax expense (benefit), and income (loss) attributable to noncontrolling interest.

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The aggregate costs incurred (1) in a planned search or critical investigation aimed at discovery of new knowledge with the hope that such knowledge will be useful in developing a new product or service, a new process or technique, or in bringing about a significant improvement to an existing product or process; or (2) to translate research findings or other knowledge into a plan or design for a new product or process or for a significant improvement to an existing product or process whether intended for sale or the entity's use, during the reporting period charged to research and development projects, including the costs of developing computer software up to the point in time of achieving technological feasibility, and costs allocated in accounting for a business combination to in-process projects deemed to have no alternative future use.

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