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Significant Accounting Policies - Summary of Expenses in Special Items (Detail) - USD ($)
$ in Millions
3 Months Ended
Mar. 31, 2017
Mar. 31, 2016
Biomet merger-related    
Consulting and professional fees $ 18.7 $ 36.1
Employee termination benefits (3.0) 4.1
Dedicated project personnel 8.7 21.7
Relocated facilities 2.8 1.7
Contract terminations   10.1
Information technology integration 2.3 1.4
Other 7.5 4.0
Total Biomet merger-related 37.0 79.1
Other    
Consulting and professional fees 50.4 6.9
Employee termination benefits 1.2  
Dedicated project personnel 12.8 1.8
Relocated facilities 2.4 0.2
Certain litigation matters 7.0  
Information technology integration 0.5 0.1
Contingent consideration adjustments (3.6)  
Other 2.4 0.6
Total Other 73.1 9.6
Special items $ 110.1 $ 88.7