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Goodwill and Other Intangible Assets - Additional Information (Detail)
3 Months Ended 12 Months Ended
Dec. 31, 2018
USD ($)
Dec. 31, 2017
USD ($)
Sep. 30, 2017
USD ($)
Dec. 31, 2018
USD ($)
Dec. 31, 2017
USD ($)
Dec. 31, 2016
USD ($)
Finite Lived Intangible Assets [Line Items]            
Goodwill impairment charge $ 975,900,000     $ 975,900,000 $ 304,700,000  
Goodwill $ 9,594,400,000 $ 10,668,400,000   $ 9,594,400,000 10,668,400,000 $ 10,643,900,000
Reporting units with goodwill assigned to them       4    
In Process Research and Development (IPR&D) [Member] | Biomet [Member]            
Finite Lived Intangible Assets [Line Items]            
Intangible asset impairment       $ 3,800,000 26,800,000 31,100,000
Dental [Member] | Maximum [Member]            
Finite Lived Intangible Assets [Line Items]            
Percentage of fair value in excess of carrying amount 5.00%     5.00%    
Other Reporting Units [Member]            
Finite Lived Intangible Assets [Line Items]            
Reporting units with goodwill assigned to them       3    
Other Reporting Units [Member] | Minimum [Member]            
Finite Lived Intangible Assets [Line Items]            
Percentage of fair value in excess of carrying amount 25.00%     25.00%    
Product Category Operating Segments [Member] | Office Based Technologies [Member]            
Finite Lived Intangible Assets [Line Items]            
Goodwill impairment charge     $ 32,700,000   32,700,000  
Goodwill     $ 0      
Product Category Operating Segments [Member] | Spine [Member]            
Finite Lived Intangible Assets [Line Items]            
Goodwill impairment charge   272,000,000   $ 401,200,000 272,000,000  
Goodwill $ 0     0    
Product Category Operating Segments [Member] | Insignificant Reporting Unit [Member]            
Finite Lived Intangible Assets [Line Items]            
Goodwill impairment charge       7,700,000    
Goodwill 7,700,000     7,700,000    
EMEA [Member]            
Finite Lived Intangible Assets [Line Items]            
Goodwill impairment charge       567,000,000    
Goodwill $ 755,200,000 $ 1,379,800,000   $ 755,200,000 $ 1,379,800,000 $ 1,263,700,000