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Consolidated Statements of Operations and Comprehensive Income (Loss) (USD $)
In Thousands, except Share data, unless otherwise specified
 12 Months Ended
Dec. 31, 2014
Dec. 31, 2013
Dec. 31, 2012
Income Statement [Abstract]      
Product sales $ 351,525ofix_RevenueFromProductSales $ 349,552ofix_RevenueFromProductSales $ 393,647ofix_RevenueFromProductSales
Marketing service fees 50,752ofix_MarketServiceRevenue 48,059ofix_MarketServiceRevenue 46,542ofix_MarketServiceRevenue
Net sales 402,277us-gaap_SalesRevenueNet 397,611us-gaap_SalesRevenueNet 440,189us-gaap_SalesRevenueNet
Cost of sales 98,912us-gaap_CostOfGoodsAndServicesSold 106,912us-gaap_CostOfGoodsAndServicesSold 100,726us-gaap_CostOfGoodsAndServicesSold
Gross profit 303,365us-gaap_GrossProfit 290,699us-gaap_GrossProfit 339,463us-gaap_GrossProfit
Operating expenses      
Sales and marketing 166,547us-gaap_SellingAndMarketingExpense 175,468us-gaap_SellingAndMarketingExpense 178,771us-gaap_SellingAndMarketingExpense
General and administrative 76,790us-gaap_GeneralAndAdministrativeExpense 64,830us-gaap_GeneralAndAdministrativeExpense 53,650us-gaap_GeneralAndAdministrativeExpense
Research and development 24,994us-gaap_ResearchAndDevelopmentExpense 26,768us-gaap_ResearchAndDevelopmentExpense 28,577us-gaap_ResearchAndDevelopmentExpense
Amortization of intangible assets 2,284us-gaap_AmortizationOfIntangibleAssets 2,687us-gaap_AmortizationOfIntangibleAssets 2,298us-gaap_AmortizationOfIntangibleAssets
Costs related to the accounting review and restatement 15,614ofix_AccountingReviewAndRestatementCosts 12,945ofix_AccountingReviewAndRestatementCosts  
Impairment of Goodwill   19,193us-gaap_GoodwillImpairmentLoss  
Charges related to U.S. Government resolutions (Note 17)     1,295us-gaap_GainLossRelatedToLitigationSettlement
Total operating expenses 286,229us-gaap_OperatingExpenses 301,891us-gaap_OperatingExpenses 264,591us-gaap_OperatingExpenses
Operating income (loss) 17,136us-gaap_OperatingIncomeLoss (11,192)us-gaap_OperatingIncomeLoss 74,872us-gaap_OperatingIncomeLoss
Other income and (expense)      
Interest expense, net (1,785)us-gaap_InterestExpense (1,827)us-gaap_InterestExpense (4,161)us-gaap_InterestExpense
Other (expense) income (2,895)us-gaap_OtherNonoperatingIncomeExpense 2,416us-gaap_OtherNonoperatingIncomeExpense (1,646)us-gaap_OtherNonoperatingIncomeExpense
Total other income (expense) (4,680)us-gaap_NonoperatingIncomeExpense 589us-gaap_NonoperatingIncomeExpense (5,807)us-gaap_NonoperatingIncomeExpense
Income (loss) before income taxes 12,456us-gaap_IncomeLossFromContinuingOperationsBeforeIncomeTaxesMinorityInterestAndIncomeLossFromEquityMethodInvestments (10,603)us-gaap_IncomeLossFromContinuingOperationsBeforeIncomeTaxesMinorityInterestAndIncomeLossFromEquityMethodInvestments 69,065us-gaap_IncomeLossFromContinuingOperationsBeforeIncomeTaxesMinorityInterestAndIncomeLossFromEquityMethodInvestments
Income tax expense (16,200)us-gaap_IncomeTaxExpenseBenefit (7,602)us-gaap_IncomeTaxExpenseBenefit (23,944)us-gaap_IncomeTaxExpenseBenefit
Net (loss) income from continuing operations (3,744)us-gaap_IncomeLossFromContinuingOperations (18,205)us-gaap_IncomeLossFromContinuingOperations 45,121us-gaap_IncomeLossFromContinuingOperations
Discontinued operations (Note 16)      
Gain on sale of Breg, Inc., net of tax     1,345us-gaap_DiscontinuedOperationGainLossOnDisposalOfDiscontinuedOperationNetOfTax
Loss from discontinued operations (7,157)us-gaap_DiscontinuedOperationIncomeLossFromDiscontinuedOperationDuringPhaseOutPeriodNetOfTax (15,510)us-gaap_DiscontinuedOperationIncomeLossFromDiscontinuedOperationDuringPhaseOutPeriodNetOfTax (3,494)us-gaap_DiscontinuedOperationIncomeLossFromDiscontinuedOperationDuringPhaseOutPeriodNetOfTax
Income tax benefit (expense) 2,364us-gaap_DiscontinuedOperationTaxEffectOfDiscontinuedOperation 4,903us-gaap_DiscontinuedOperationTaxEffectOfDiscontinuedOperation (120)us-gaap_DiscontinuedOperationTaxEffectOfDiscontinuedOperation
Net loss from discontinued operations (4,793)us-gaap_IncomeLossFromDiscontinuedOperationsNetOfTaxAttributableToReportingEntity (10,607)us-gaap_IncomeLossFromDiscontinuedOperationsNetOfTaxAttributableToReportingEntity (2,269)us-gaap_IncomeLossFromDiscontinuedOperationsNetOfTaxAttributableToReportingEntity
Net (loss) income (8,537)us-gaap_NetIncomeLoss (28,812)us-gaap_NetIncomeLoss 42,852us-gaap_NetIncomeLoss
Net income (loss) per common share—basic:      
Net (loss) income from continuing operations $ (0.20)us-gaap_IncomeLossFromContinuingOperationsPerBasicShare $ (0.97)us-gaap_IncomeLossFromContinuingOperationsPerBasicShare $ 2.38us-gaap_IncomeLossFromContinuingOperationsPerBasicShare
Net loss from discontinued operations $ (0.26)us-gaap_IncomeLossFromDiscontinuedOperationsNetOfTaxPerBasicShare $ (0.57)us-gaap_IncomeLossFromDiscontinuedOperationsNetOfTaxPerBasicShare $ (0.12)us-gaap_IncomeLossFromDiscontinuedOperationsNetOfTaxPerBasicShare
Net (loss) income per common share—basic $ (0.46)us-gaap_EarningsPerShareBasic $ (1.54)us-gaap_EarningsPerShareBasic $ 2.26us-gaap_EarningsPerShareBasic
Net income (loss) per common share—diluted:      
Net (loss) income from continuing operations $ (0.20)us-gaap_IncomeLossFromContinuingOperationsPerDilutedShare $ (0.97)us-gaap_IncomeLossFromContinuingOperationsPerDilutedShare $ 2.33us-gaap_IncomeLossFromContinuingOperationsPerDilutedShare
Net loss from discontinued operations $ (0.26)us-gaap_IncomeLossFromDiscontinuedOperationsNetOfTaxPerDilutedShare $ (0.57)us-gaap_IncomeLossFromDiscontinuedOperationsNetOfTaxPerDilutedShare $ (0.12)us-gaap_IncomeLossFromDiscontinuedOperationsNetOfTaxPerDilutedShare
Net (loss) income per common share—diluted $ (0.46)us-gaap_EarningsPerShareDiluted $ (1.54)us-gaap_EarningsPerShareDiluted $ 2.21us-gaap_EarningsPerShareDiluted
Weighted average number of common shares:      
Basic 18,459,054us-gaap_WeightedAverageNumberOfSharesOutstandingBasic 18,697,228us-gaap_WeightedAverageNumberOfSharesOutstandingBasic 18,977,263us-gaap_WeightedAverageNumberOfSharesOutstandingBasic
Diluted 18,459,054us-gaap_WeightedAverageNumberOfDilutedSharesOutstanding 18,697,228us-gaap_WeightedAverageNumberOfDilutedSharesOutstanding 19,390,413us-gaap_WeightedAverageNumberOfDilutedSharesOutstanding
Other comprehensive income (loss), before tax:      
Translation adjustment (4,133)us-gaap_OtherComprehensiveIncomeForeignCurrencyTransactionAndTranslationAdjustmentNetOfTaxPortionAttributableToParent (1,708)us-gaap_OtherComprehensiveIncomeForeignCurrencyTransactionAndTranslationAdjustmentNetOfTaxPortionAttributableToParent 1,131us-gaap_OtherComprehensiveIncomeForeignCurrencyTransactionAndTranslationAdjustmentNetOfTaxPortionAttributableToParent
Unrealized gain (loss) on derivative instrument 307us-gaap_OtherComprehensiveIncomeUnrealizedGainLossOnDerivativesArisingDuringPeriodTax (443)us-gaap_OtherComprehensiveIncomeUnrealizedGainLossOnDerivativesArisingDuringPeriodTax 416us-gaap_OtherComprehensiveIncomeUnrealizedGainLossOnDerivativesArisingDuringPeriodTax
Other comprehensive (loss) income, before tax (3,826)us-gaap_OtherComprehensiveIncomeAvailableforsaleSecuritiesAdjustmentBeforeTaxPortionAttributableToParent (2,151)us-gaap_OtherComprehensiveIncomeAvailableforsaleSecuritiesAdjustmentBeforeTaxPortionAttributableToParent 1,547us-gaap_OtherComprehensiveIncomeAvailableforsaleSecuritiesAdjustmentBeforeTaxPortionAttributableToParent
Income tax related to components of other comprehensive income (59)ofix_IncomeTaxExpenseBenefitRelatedToAccumulatedOtherComprehensiveIncome 164ofix_IncomeTaxExpenseBenefitRelatedToAccumulatedOtherComprehensiveIncome (153)ofix_IncomeTaxExpenseBenefitRelatedToAccumulatedOtherComprehensiveIncome
Other comprehensive (loss) income, net of tax (3,885)us-gaap_OtherComprehensiveIncomeLossNetOfTaxPortionAttributableToParent (1,987)us-gaap_OtherComprehensiveIncomeLossNetOfTaxPortionAttributableToParent 1,394us-gaap_OtherComprehensiveIncomeLossNetOfTaxPortionAttributableToParent
Comprehensive (loss) income $ (12,422)us-gaap_ComprehensiveIncomeNetOfTax $ (30,799)us-gaap_ComprehensiveIncomeNetOfTax $ 44,246us-gaap_ComprehensiveIncomeNetOfTax