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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, 2019	Jun. 30, 2018	Jun. 30, 2019	Jun. 30, 2018
Revenues From External Customers And Long Lived Assets [Line Items]
Net sales	$ 115,850	$ 111,547	$ 224,962	$ 220,256
Global Spine [Member]
Revenues From External Customers And Long Lived Assets [Line Items]
Net sales	90,079	86,759	175,997	167,964
Global Extremities [Member]
Revenues From External Customers And Long Lived Assets [Line Items]
Net sales	25,771	24,788	48,965	52,292
U.S. [Member]
Revenues From External Customers And Long Lived Assets [Line Items]
Net sales	91,445	88,745	177,569	173,699
U.S. [Member] | Global Spine [Member]
Revenues From External Customers And Long Lived Assets [Line Items]
Net sales	84,601	81,722	164,127	159,760
U.S. [Member] | Global Extremities [Member]
Revenues From External Customers And Long Lived Assets [Line Items]
Net sales	6,844	7,023	13,442	13,939
International [Member]
Revenues From External Customers And Long Lived Assets [Line Items]
Net sales	24,405	22,802	47,393	46,557
International [Member] | Global Spine [Member]
Revenues From External Customers And Long Lived Assets [Line Items]
Net sales	5,478	5,037	11,870	8,204
International [Member] | Global Extremities [Member]
Revenues From External Customers And Long Lived Assets [Line Items]
Net sales	$ 18,927	$ 17,765	$ 35,523	$ 38,353

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Amount, excluding tax collected from customer, of revenue from satisfaction of performance obligation by transferring promised good or service to customer. Tax collected from customer is tax assessed by governmental authority that is both imposed on and concurrent with specific revenue-producing transaction, including, but not limited to, sales, use, value added and excise.

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