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Significant Accounting Policies - Summary of Expenses in Special Items (Detail) - USD ($)
$ in Millions
3 Months Ended 9 Months Ended
Jul. 13, 2016
Sep. 30, 2017
Sep. 30, 2016
Sep. 30, 2017
Sep. 30, 2016
Biomet merger-related          
Consulting and professional fees   $ 19.9 $ 59.0 $ 60.7 $ 138.4
Employee termination benefits   5.4 7.1 12.0 14.3
Dedicated project personnel   10.2 21.9 33.1 64.8
Relocated facilities   1.8 9.5 6.1 17.5
Certain litigation matters   5.0   5.0  
Contract terminations     3.5   28.8
Information technology integration   1.3 4.8 4.9 9.3
Goodwill and intangible asset impairment   32.7   59.5 28.0
Other   4.8 8.0 25.0 12.4
Total Biomet merger-related   81.1 113.8 206.3 313.5
Other          
Consulting and professional fees   56.3 14.6 158.4 30.3
Employee termination benefits   (0.6) 3.2 2.0 3.2
Dedicated project personnel   14.0 8.2 35.5 11.5
Impairment/loss on disposal of assets         1.1
Relocated facilities   0.6   3.1 0.2
Certain litigation matters   3.0 3.7 10.0 3.7
Contract terminations     0.1   1.1
Information technology integration   1.0 0.8 1.8 1.1
Certain R&D agreements       2.5  
Contingent consideration adjustments   1.7   (1.5)  
Other   8.3 1.9 16.0 7.2
Total Other   84.3 56.6 227.8 83.5
Special items   $ 165.4 170.4 $ 434.1 397.0
LDR Holding Corporation [Member]          
Other          
Merger consideration compensation expense $ 24.1   $ 24.1   $ 24.1