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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, 2017
Jun. 30, 2016
Jun. 30, 2017
Jun. 30, 2016
Biomet merger-related        
Consulting and professional fees $ 22.1 $ 43.3 $ 40.8 $ 79.4
Employee termination benefits 9.6 3.1 6.6 7.2
Dedicated project personnel 14.2 21.2 22.9 42.9
Relocated facilities 1.5 6.3 4.3 8.0
Contract terminations   15.2   25.3
Information technology integration 1.3 3.1 3.6 4.5
Intangible asset impairment 26.8 28.0 26.8 28.0
Other 12.7 0.4 20.2 4.4
Total Biomet merger-related 88.2 120.6 125.2 199.7
Other        
Consulting and professional fees 51.7 8.8 102.1 15.7
Employee termination benefits 1.4   2.6  
Dedicated project personnel 8.7 1.5 21.5 3.3
Impairment/loss on disposal of assets   1.1   1.1
Relocated facilities 0.1   2.5 0.2
Certain litigation matters     7.0  
Contract terminations   1.0   1.0
Information technology integration 0.3 0.2 0.8 0.3
Certain R&D agreements 2.5   2.5  
Contingent consideration adjustments 0.4   (3.2)  
Other 5.3 4.7 7.7 5.3
Total Other 70.4 17.3 143.5 26.9
Special items $ 158.6 $ 137.9 $ 268.7 $ 226.6