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Revenue Recognition and Accounts Receivable - Additional Information (Detail)
€ in Millions, $ in Millions
12 Months Ended
Dec. 31, 2016
USD ($)
Dec. 31, 2016
EUR (€)
Dec. 31, 2015
USD ($)
Dec. 31, 2015
EUR (€)
Dec. 31, 2014
USD ($)
Dec. 31, 2014
EUR (€)
Dec. 31, 2009
Health Care Organization Receivable and Revenue Disclosures [Line Items]              
Shipping and handling costs $ 2.0   $ 2.2   $ 2.3    
Sale of receivables 11.1 € 10.0 11.9 € 10.9 12.8 € 9.8  
Estimated related fee $ 0.4   $ 0.5   $ 0.4    
Collaborative Arrangement [Member] | Musculoskeletal Transplant Foundation ("MTF") [Member]              
Health Care Organization Receivable and Revenue Disclosures [Line Items]              
Period of agreement with MTF             10 years