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Significant Accounting Policies - Summary of Expenses in Special Items (Detail) - USD ($)
$ in Millions
3 Months Ended 6 Months Ended
Jun. 30, 2016
Jun. 30, 2015
Jun. 30, 2016
Jun. 30, 2015
Biomet-related        
Merger consideration compensation expense   $ 164.1   $ 164.1
Retention plans   73.0   73.0
Consulting and professional fees $ 43.3 62.4 $ 79.4 86.6
Employee termination benefits 3.1 64.5 7.2 64.9
Dedicated project personnel 21.2 8.1 42.9 9.1
Relocated facilities 6.3 0.9 8.0 0.9
Contract terminations 15.2 15.9 25.3 15.9
Information technology integration 3.1   4.5  
Intangible asset impairment 28.0   28.0  
Other 0.4 1.7 4.4 1.9
Total Biomet-related 120.6 390.6 199.7 416.4
Other        
Consulting and professional fees 8.8 39.6 15.7 79.3
Employee termination benefits   0.7   0.8
Dedicated project personnel 1.5 10.1 3.3 22.5
Impairment/loss on disposal of assets 1.1   1.1 2.3
Relocated facilities     0.2 0.5
Certain litigation matters   20.3   20.3
Contract terminations 1.0   1.0  
Information technology integration 0.2   0.3  
Contingent consideration adjustments       2.3
Accelerated software amortization       1.5
Other 4.7 7.9 5.3 10.1
Total Other 17.3 78.6 26.9 139.6
Special items $ 137.9 $ 469.2 $ 226.6 $ 556.0