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Acquisitions - Additional Information (Detail) - USD ($) |  |  | 1 Months Ended | 12 Months Ended
--- | --- | --- | --- | ---
Jul. 31, 2020 | Mar. 26, 2020 | Jul. 31, 2020 | Jan. 31, 2019 | Apr. 30, 2018 | Dec. 31, 2020 | Dec. 31, 2019 | Dec. 31, 2018
Business Acquisition [Line Items] |  |  |  |  |  |  |  |
Cash consideration paid for assets acquired | $ 7,200,000 |  |  |  |  | $ 18,000,000 |  | $ 44,294,000
Goodwill |  |  |  |  |  | 84,018,000 | $ 71,177,000 |
Consideration transferred | $ 7,575,000 |  |  |  |  |  |  |
Purchase agreement of acquired business, description |  |  | The Company agreed to pay consideration of up to $7.6 million in accordance with the parties’ agreement |  |  |  |  |
Global Extremities [Member] |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |
Goodwill |  |  |  |  |  | 12,701,000 |  |
Global Spine [Member] |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |
Goodwill |  |  |  |  |  | 71,317,000 | 71,177,000 |
Wittenstein [Member] | FITBONE Asset Purchase Agreement [Member] |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |
Date of assets purchase agreement |  | Feb. 03, 2020 |  |  |  |  |  |
Cash consideration paid for assets acquired |  | $ 18,000,000.0 |  |  |  |  |  |
Acquisition completion date |  | Mar. 26, 2020 |  |  |  |  |  |
Goodwill |  | $ 11,300,000 |  |  |  |  |  |
Acquisition related costs |  |  |  |  |  | 400,000 | 600,000 |
Revenues related to acquisitions |  |  |  |  |  | $ 1,900 | $ 0 |
Business acquisition date |  | Feb. 03, 2020 |  |  |  |  |  |
Wittenstein [Member] | FITBONE Asset Purchase Agreement [Member] | Contract Manufacturing and Supply Agreement ("CMSA") [Member] |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |
Goodwill |  |  |  |  |  | 2 years |  |
Wittenstein [Member] | FITBONE Asset Purchase Agreement [Member] | Global Extremities [Member] |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |
Goodwill |  | $ 11,100,000 |  |  |  |  |  |
Wittenstein [Member] | FITBONE Asset Purchase Agreement [Member] | Global Spine [Member] |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |
Goodwill |  | $ 200,000 |  |  |  |  |  |
DR Medical, LLC and MedSelect Corporation [Member] |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |
Consideration transferred |  |  | $ 7,600,000 |  |  |  |  |
Spinal Kinetics [Member] |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |
Date of assets purchase agreement |  |  |  |  | Apr. 30, 2018 |  |  |
Goodwill |  |  |  |  | $ 17,612,000 |  |  |
Business acquisition date |  |  |  |  | Apr. 30, 2018 |  |  |
Business acquisition conversion of shares into net cash subject to adjustments |  |  |  |  | $ 45,000,000.0 |  |  |
Fair value of the consideration transferred |  |  |  |  | 76,600,000 | $ 76,600,000 |  |
Spinal Kinetics [Member] | Maximum [Member] |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |
Future milestone payments |  |  |  |  | $ 60,000,000.0 |  |  |
Options Medical [Member] |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |
Consideration transferred |  |  |  | $ 6,400,000 |  |  |  |
Fair value of the consideration transferred |  |  |  | $ 6,400,000 |  |  |  |

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- Definition With respect to a business combination completed during the period, this element provides a description of the business, other than the name, which may include the industry, size, products and other important information. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 805 -SubTopic 10 -Section 50 -Paragraph 2 -Subparagraph (a) -URI http://asc.fasb.org/extlink&oid=79982066&loc=d3e1392-128463 + Details
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- Definition Amount of consideration transferred, consisting of acquisition-date fair value of assets transferred by the acquirer, liabilities incurred by the acquirer, and equity interest issued by the acquirer. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 805 -SubTopic 30 -Section 30 -Paragraph 8 -URI http://asc.fasb.org/extlink&oid=116859721&loc=d3e6613-128477 Reference 2: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 805 -SubTopic 30 -Section 50 -Paragraph 1 -Subparagraph (b) -URI http://asc.fasb.org/extlink&oid=120321790&loc=d3e6927-128479 Reference 3: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 805 -SubTopic 30 -Section 30 -Paragraph 7 -URI http://asc.fasb.org/extlink&oid=116859721&loc=d3e6578-128477 + Details
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- Definition This element represents the amount of revenue of the acquiree since the acquisition date included in the consolidated income statement for the reporting period. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 805 -SubTopic 10 -Section 50 -Paragraph 2 -Subparagraph (h)(1) -URI http://asc.fasb.org/extlink&oid=79982066&loc=d3e1392-128463 + Details
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