SEGMENT AND GEOGRAPHIC INFORMATION - Net Sales and Profit by Reportable Segment (Detail) (USD $) In Thousands, unless otherwise specified	3 Months Ended
	Mar. 31, 2015	Mar. 31, 2014
Segment Reporting Information [Line Items]
Revenues	$ 233,665	$ 215,059
Operating income	16,788	8,738
Intangible asset amortization	(3,535)	(3,033)
Operating Segments
Segment Reporting Information [Line Items]
Operating income	83,039	68,046
Operating Segments | Specialty Surgical Solutions
Segment Reporting Information [Line Items]
Revenues	140,058	127,195
Operating income	60,332	48,297
Operating Segments | Orthopedics and Tissue Technologies
Segment Reporting Information [Line Items]
Revenues	61,367	54,589
Operating income	19,582	17,001
Operating Segments | Spine
Segment Reporting Information [Line Items]
Revenues	32,240	33,275
Operating income	3,125	2,748
Corporate, Non-Segment
Segment Reporting Information [Line Items]
Operating income	$ (62,716)	$ (56,275)