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Segment Information - Summary of Net Sales by Product Category (Detail) (USD $)
In Millions, unless otherwise specified
3 Months Ended
Mar. 31, 2013
Mar. 31, 2012
Revenue from External Customer [Line Items]    
Net Sales $ 1,138.9 $ 1,140.7
Knees [Member]
   
Revenue from External Customer [Line Items]    
Net Sales 471.0 474.6
Hips [Member]
   
Revenue from External Customer [Line Items]    
Net Sales 330.8 344.5
Extremities [Member]
   
Revenue from External Customer [Line Items]    
Net Sales 47.8 44.8
Reconstructive Implants [Member]
   
Revenue from External Customer [Line Items]    
Net Sales 849.6 863.9
Dental [Member]
   
Revenue from External Customer [Line Items]    
Net Sales 59.7 60.2
Trauma [Member]
   
Revenue from External Customer [Line Items]    
Net Sales 82.0 75.5
Spine [Member]
   
Revenue from External Customer [Line Items]    
Net Sales 47.7 53.2
Surgical and other [Member]
   
Revenue from External Customer [Line Items]    
Net Sales $ 99.9 $ 87.9