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Derivative Instruments and Hedging Activities - Additional Information (Detail) (USD $)
3 Months Ended
Mar. 31, 2015
Mar. 31, 2014
Dec. 31, 2014
Derivative Instruments, Gain (Loss) [Line Items]      
Derivative notional amount, Total $ 1,000,000,000invest_DerivativeNotionalAmount    
Loss on settlement of forward starting interest rate swaps 97,600,000zmh_DeferredGainLossOnSettlementOfInterestRateDerivative    
Expected months of hedging of inter company sales of inventory to minimize the effects of foreign exchange rate movements 30 months    
Amounts excluded from the assessment of hedge effectiveness 0us-gaap_DerivativeInstrumentsGainLossRecognizedInIncomeIneffectivePortionAndAmountExcludedFromEffectivenessTestingNet 0us-gaap_DerivativeInstrumentsGainLossRecognizedInIncomeIneffectivePortionAndAmountExcludedFromEffectivenessTestingNet  
Fair value of outstanding derivative instruments, net unrealized gain deferred in other comprehensive income 111,700,000zmh_FairValueOfOutstandingDerivativeInstrumentsNetUnrealizedGainLossDeferredInOtherComprehensiveIncome    
Cost of Products Sold [Member]      
Derivative Instruments, Gain (Loss) [Line Items]      
Fair value of outstanding derivative instruments, net unrealized gain expected to be reclassified to earnings 130,800,000us-gaap_ForeignCurrencyCashFlowHedgeGainLossToBeReclassifiedDuringNext12Months
/ us-gaap_IncomeStatementLocationAxis
= us-gaap_CostOfSalesMember
   
Fair value of outstanding derivative instruments, unrealized gain net of taxes expected to be reclassified to earnings 101,500,000zmh_FairValueOfOutstandingDerivativeInstrumentsUnrealizedGainLossNetOfTaxesExpectedToBeReclassifiedToEarnings
/ us-gaap_IncomeStatementLocationAxis
= us-gaap_CostOfSalesMember
   
Cash Flow Hedges [Member]      
Derivative Instruments, Gain (Loss) [Line Items]      
Fair value of outstanding derivative instruments, unrealized gain net of taxes deferred in other comprehensive income 100,900,000us-gaap_AccumulatedOtherComprehensiveIncomeLossCumulativeChangesInNetGainLossFromCashFlowHedgesEffectNetOfTax
/ us-gaap_DerivativeInstrumentsGainLossByHedgingRelationshipAxis
= us-gaap_CashFlowHedgingMember
   
4.625% Senior Notes due 2019 [Member]      
Derivative Instruments, Gain (Loss) [Line Items]      
Derivative notional amount, Total 250,000,000invest_DerivativeNotionalAmount
/ us-gaap_LongtermDebtTypeAxis
= zmh_FourPointSixTwoFiveSeniorNotesDueTwoThousandNineteenMember
   
Interest rate of Senior Notes 4.625%us-gaap_DebtInstrumentInterestRateStatedPercentage
/ us-gaap_LongtermDebtTypeAxis
= zmh_FourPointSixTwoFiveSeniorNotesDueTwoThousandNineteenMember
  4.625%us-gaap_DebtInstrumentInterestRateStatedPercentage
/ us-gaap_LongtermDebtTypeAxis
= zmh_FourPointSixTwoFiveSeniorNotesDueTwoThousandNineteenMember
Description of terms of interest rate derivatives terms Receive a fixed interest rate of 4.625 percent and pay variable interest equal to the three-month LIBOR plus an average of 133 basis points.    
Description of variable interest rate basis Three-month LIBOR    
4.625% Senior Notes due 2019 [Member] | LIBOR [Member]      
Derivative Instruments, Gain (Loss) [Line Items]      
Interest rate swap basis spread on variable rate 1.33%us-gaap_DerivativeBasisSpreadOnVariableRate
/ us-gaap_LongtermDebtTypeAxis
= zmh_FourPointSixTwoFiveSeniorNotesDueTwoThousandNineteenMember
/ us-gaap_VariableRateAxis
= us-gaap_LondonInterbankOfferedRateLIBORMember
   
3.375% Senior Notes due 2021 [Member]      
Derivative Instruments, Gain (Loss) [Line Items]      
Derivative notional amount, Total 300,000,000invest_DerivativeNotionalAmount
/ us-gaap_LongtermDebtTypeAxis
= zmh_ThreePointThreeSevenFivePercentageSeniorNotesDueTwoThousandTwentyOneMember
   
Interest rate of Senior Notes 3.375%us-gaap_DebtInstrumentInterestRateStatedPercentage
/ us-gaap_LongtermDebtTypeAxis
= zmh_ThreePointThreeSevenFivePercentageSeniorNotesDueTwoThousandTwentyOneMember
  3.375%us-gaap_DebtInstrumentInterestRateStatedPercentage
/ us-gaap_LongtermDebtTypeAxis
= zmh_ThreePointThreeSevenFivePercentageSeniorNotesDueTwoThousandTwentyOneMember
Description of terms of interest rate derivatives terms Receive a fixed interest rate of 3.375 percent and pay variable interest equal to the three-month LIBOR plus an average of 99 basis points.    
Description of variable interest rate basis Three-month LIBOR    
3.375% Senior Notes due 2021 [Member] | LIBOR [Member]      
Derivative Instruments, Gain (Loss) [Line Items]      
Interest rate swap basis spread on variable rate 0.99%us-gaap_DerivativeBasisSpreadOnVariableRate
/ us-gaap_LongtermDebtTypeAxis
= zmh_ThreePointThreeSevenFivePercentageSeniorNotesDueTwoThousandTwentyOneMember
/ us-gaap_VariableRateAxis
= us-gaap_LondonInterbankOfferedRateLIBORMember
   
4.450% Senior Notes due 2045 [Member]      
Derivative Instruments, Gain (Loss) [Line Items]      
Interest rate of Senior Notes 4.45%us-gaap_DebtInstrumentInterestRateStatedPercentage
/ us-gaap_LongtermDebtTypeAxis
= zmh_FourPointFourFiveZeroPercentageSeniorNotesDueTwoThousandFortyFiveMember
   
Debt instrument term 30 years    
Foreign Exchange Forward Contracts [Member] | Nondesignated [Member] | Minimum [Member]      
Derivative Instruments, Gain (Loss) [Line Items]      
Derivative notional amount, Total 1,200,000,000invest_DerivativeNotionalAmount
/ us-gaap_DerivativeInstrumentRiskAxis
= us-gaap_ForeignExchangeForwardMember
/ us-gaap_HedgingDesignationAxis
= us-gaap_NondesignatedMember
/ us-gaap_RangeAxis
= us-gaap_MinimumMember
   
Foreign Exchange Forward Contracts [Member] | Nondesignated [Member] | Maximum [Member]      
Derivative Instruments, Gain (Loss) [Line Items]      
Derivative notional amount, Total 1,700,000,000invest_DerivativeNotionalAmount
/ us-gaap_DerivativeInstrumentRiskAxis
= us-gaap_ForeignExchangeForwardMember
/ us-gaap_HedgingDesignationAxis
= us-gaap_NondesignatedMember
/ us-gaap_RangeAxis
= us-gaap_MaximumMember
   
Foreign Exchange Contract [Member] | U.S. Dollars [Member]      
Derivative Instruments, Gain (Loss) [Line Items]      
Derivative notional amount, Total 1,228,500,000invest_DerivativeNotionalAmount
/ us-gaap_CurrencyAxis
= currency_USD
/ us-gaap_DerivativeInstrumentRiskAxis
= us-gaap_ForeignExchangeContractMember
   
Foreign Exchange Contract [Member] | Swiss Francs [Member]      
Derivative Instruments, Gain (Loss) [Line Items]      
Derivative notional amount, Total $ 306,400,000invest_DerivativeNotionalAmount
/ us-gaap_CurrencyAxis
= currency_CHF
/ us-gaap_DerivativeInstrumentRiskAxis
= us-gaap_ForeignExchangeContractMember