Contingencies - Additional Information (Detail) $ in Thousands	12 Months Ended
	Dec. 31, 2019 USD ($) trauma_claim lawsuit	Dec. 31, 2018 USD ($) trauma_claim lawsuit	Dec. 31, 2017 USD ($) trauma_claim lawsuit	Dec. 31, 2016 trauma_claim lawsuit
Loss Contingencies [Line Items]
Loss Contingency, Years of Activity	5 years
Reserves for product liability claims	$ 167,500	$ 187,300
Loss contingency, settlement, payment period	1 year 9 months
Insurance receivables	$ 63,800	71,700	$ 134,700
Notes receivable from insurance companies	56,000	59,600	76,900
Reported in Notes receivable	3,676	3,555
Notes receivable, insurance companies, noncurrent (Note 19)	52,336	56,012
Product Warranty Expense	11,200	9,400	13,800
Single Incident
Loss Contingencies [Line Items]
Reserves for product liability claims	3,100	3,600
Product liability losses	$ 500	$ 2,000	$ 2,400
Lawsuits
Loss Contingencies [Line Items]
Number of lawsuits | lawsuit	1,605	1,481	1,420	1,794
Insurance Claims
Loss Contingencies [Line Items]
Number of lawsuits | trauma_claim	2,456	2,355	2,242	3,023
Cumulative Trauma, Reported Claims
Loss Contingencies [Line Items]
Product liability losses	$ 36,100	$ 63,800	$ 219,000
Claims Settled, But Not Yet Paid
Loss Contingencies [Line Items]
Reserves for product liability claims	3,000	24,500
Uninsured Cumulative Trauma
Loss Contingencies [Line Items]
Product liability losses	27,100	43,800	$ 124,500
Other Current Liabilities | Cumulative Trauma, Reported Claims
Loss Contingencies [Line Items]
Reserves for product liability claims	17,400	38,800
Other Noncurrent Liabilities | Cumulative Trauma, Reported Claims
Loss Contingencies [Line Items]
Reserves for product liability claims	150,100	148,500
Prepaid Expenses and Other Current Assets
Loss Contingencies [Line Items]
Insurance Receivables, current	7,600	14,800
Other Noncurrent Assets
Loss Contingencies [Line Items]
Insurance receivable, noncurrent	$ 56,200	$ 56,900