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Related Party Transactions - Additional Information (Details) - USD ($)
$ in Thousands
1 Months Ended 9 Months Ended 24 Months Ended
Jul. 01, 2016
Sep. 30, 2016
Apr. 30, 2014
Mar. 31, 2014
Sep. 30, 2016
Sep. 30, 2015
Sep. 30, 2016
HealthpointCapital, LLC              
Related Party Transaction [Line Items]              
Incurred expenses (less than $.1 million)         $ 100 $ 100  
Payable liability (less than $.1 million)   $ 100     $ 100   $ 100
Orthotec LLC, litigation settlement              
Related Party Transaction [Line Items]              
Payments of settlement     $ 15,750 $ 1,750     $ 26,300
Orthotec LLC, litigation settlement | Forbearance agreement, settlement payment              
Related Party Transaction [Line Items]              
Payments of settlement   $ 1,100          
HealthpointCapital, LLC | Orthotec LLC, litigation settlement | Forbearance agreement, settlement payment              
Related Party Transaction [Line Items]              
Payments of settlement $ 1,000