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Significant Accounting Policies - Summary of Expenses in Special Items (Detail) - USD ($)
$ in Millions
3 Months Ended
Mar. 31, 2016
Mar. 31, 2015
Biomet-related    
Consulting and professional fees $ 36.1 $ 24.2
Employee termination benefits 4.1 0.4
Dedicated project personnel 21.7 1.0
Relocated facilities 7.1  
Contract terminations 10.1  
Information technology integration 1.4  
Other 4.0 0.2
Other    
Consulting and professional fees 6.9 39.7
Employee termination benefits   0.1
Dedicated project personnel 1.8 12.4
Impairment/loss on disposal of assets   2.3
Relocated facilities 0.2 0.5
Information technology integration 0.1  
Contingent consideration adjustments   2.3
Accelerated software amortization   1.5
Other 0.6 2.2
Special items $ 94.1 $ 86.8