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Derivative Instruments and Hedging Activities - Gross Unrealized Losses from Derivative Instruments (Detail) (Cash Flow Hedges [Member], USD $)
In Millions, unless otherwise specified
3 Months Ended
Mar. 31, 2015
Mar. 31, 2014
Derivative Instruments, Gain (Loss) [Line Items]    
Amount of Gain / (Loss) Recognized in OCI $ 51.7us-gaap_DerivativeInstrumentsGainLossRecognizedInOtherComprehensiveIncomeEffectivePortionNet $ (3.9)us-gaap_DerivativeInstrumentsGainLossRecognizedInOtherComprehensiveIncomeEffectivePortionNet
Amount of Gain / (Loss) Reclassified from OCI 28.0us-gaap_DerivativeInstrumentsGainLossReclassifiedFromAccumulatedOCIIntoIncomeEffectivePortionNet 4.9us-gaap_DerivativeInstrumentsGainLossReclassifiedFromAccumulatedOCIIntoIncomeEffectivePortionNet
Foreign Exchange Forward Contracts [Member]
   
Derivative Instruments, Gain (Loss) [Line Items]    
Amount of Gain / (Loss) Recognized in OCI 90.0us-gaap_DerivativeInstrumentsGainLossRecognizedInOtherComprehensiveIncomeEffectivePortionNet
/ us-gaap_DerivativeInstrumentRiskAxis
= us-gaap_ForeignExchangeForwardMember
/ us-gaap_DerivativeInstrumentsGainLossByHedgingRelationshipAxis
= us-gaap_CashFlowHedgingMember
(3.9)us-gaap_DerivativeInstrumentsGainLossRecognizedInOtherComprehensiveIncomeEffectivePortionNet
/ us-gaap_DerivativeInstrumentRiskAxis
= us-gaap_ForeignExchangeForwardMember
/ us-gaap_DerivativeInstrumentsGainLossByHedgingRelationshipAxis
= us-gaap_CashFlowHedgingMember
Foreign Exchange Forward Contracts [Member] | Cost of Products Sold [Member]
   
Derivative Instruments, Gain (Loss) [Line Items]    
Amount of Gain / (Loss) Reclassified from OCI 28.1us-gaap_DerivativeInstrumentsGainLossReclassifiedFromAccumulatedOCIIntoIncomeEffectivePortionNet
/ us-gaap_DerivativeInstrumentRiskAxis
= us-gaap_ForeignExchangeForwardMember
/ us-gaap_DerivativeInstrumentsGainLossByHedgingRelationshipAxis
= us-gaap_CashFlowHedgingMember
/ us-gaap_IncomeStatementLocationAxis
= us-gaap_CostOfSalesMember
5.0us-gaap_DerivativeInstrumentsGainLossReclassifiedFromAccumulatedOCIIntoIncomeEffectivePortionNet
/ us-gaap_DerivativeInstrumentRiskAxis
= us-gaap_ForeignExchangeForwardMember
/ us-gaap_DerivativeInstrumentsGainLossByHedgingRelationshipAxis
= us-gaap_CashFlowHedgingMember
/ us-gaap_IncomeStatementLocationAxis
= us-gaap_CostOfSalesMember
Foreign Exchange Options [Member] | Cost of Products Sold [Member]
   
Derivative Instruments, Gain (Loss) [Line Items]    
Amount of Gain / (Loss) Reclassified from OCI   (0.1)us-gaap_DerivativeInstrumentsGainLossReclassifiedFromAccumulatedOCIIntoIncomeEffectivePortionNet
/ us-gaap_DerivativeInstrumentRiskAxis
= us-gaap_ForeignExchangeOptionMember
/ us-gaap_DerivativeInstrumentsGainLossByHedgingRelationshipAxis
= us-gaap_CashFlowHedgingMember
/ us-gaap_IncomeStatementLocationAxis
= us-gaap_CostOfSalesMember
Forward Starting Interest Rate Swaps [Member]
   
Derivative Instruments, Gain (Loss) [Line Items]    
Amount of Gain / (Loss) Recognized in OCI (38.3)us-gaap_DerivativeInstrumentsGainLossRecognizedInOtherComprehensiveIncomeEffectivePortionNet
/ us-gaap_DerivativeInstrumentRiskAxis
= zmh_ForwardStartingInterestRateSwapsMember
/ us-gaap_DerivativeInstrumentsGainLossByHedgingRelationshipAxis
= us-gaap_CashFlowHedgingMember
 
Forward Starting Interest Rate Swaps [Member] | Interest Expense [Member]
   
Derivative Instruments, Gain (Loss) [Line Items]    
Amount of Gain / (Loss) Reclassified from OCI $ (0.1)us-gaap_DerivativeInstrumentsGainLossReclassifiedFromAccumulatedOCIIntoIncomeEffectivePortionNet
/ us-gaap_DerivativeInstrumentRiskAxis
= zmh_ForwardStartingInterestRateSwapsMember
/ us-gaap_DerivativeInstrumentsGainLossByHedgingRelationshipAxis
= us-gaap_CashFlowHedgingMember
/ us-gaap_IncomeStatementLocationAxis
= zmh_InterestAndOtherIncomeExpenseNetMember