Reconciliation of Segment Operating Profit to Income (Loss) from Continuing Operations before Interest, Loss on Extinguishment of Debt and Taxes (Detail) (USD $) In Thousands, unless otherwise specified	3 Months Ended													12 Months Ended
	Dec. 31, 2013	Sep. 30, 2013	Jun. 30, 2013	Mar. 31, 2013		Dec. 31, 2012		Sep. 30, 2012		Jun. 30, 2012		Mar. 31, 2012		Dec. 31, 2013	Dec. 31, 2012	Dec. 31, 2011
Segment Reporting Other Significant Reconciling Item [Line Items]
Operating profit	$ 54,064	$ 66,042	$ 63,751	$ 49,404	[1]	$ 58,440	[2]	$ 49,841	[2]	$ 64,722	[2]	$ (270,378)	[1],[2]	$ 233,261	$ (97,375)	$ 229,570
Goodwill impairment charges												(332,100)			(332,128)
Restructuring and other impairment charges														(38,452)	(3,037)	(6,005)
Net gain (loss) on sales of businesses and assets															332	(582)
Operating Segments
Segment Reporting Other Significant Reconciling Item [Line Items]
Operating profit														271,713	237,458	236,157
Restructuring and other impairment charges														$ (38,452)	$ (3,037)	$ (6,005)

[1] Amounts for the first quarter 2012 include a pretax goodwill impairment charge of $332.1 million, or $315.1 million net of tax. See Note 7 to the consolidated financial statements.

[2] Amounts reflect the retrospective impact of reporting the orthopedic business as discontinued operations. See Note 18 to the consolidated financial statements.