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Segment Information - Additional Information (Detail) - USD ($)
$ in Thousands
3 Months Ended 5 Months Ended 9 Months Ended
Sep. 30, 2018
Sep. 30, 2017
Sep. 30, 2018
Sep. 30, 2018
Sep. 30, 2017
Segment Reporting Information [Line Items]          
Income (loss) from operations $ 5,881 $ 5,551   $ 9,283 $ 32,045
Paragon Medical Inc          
Segment Reporting Information [Line Items]          
Sales revenue     $ 70,000    
Income (loss) from operations     2,200    
Bridgemedica, LLC          
Segment Reporting Information [Line Items]          
Sales revenue     7,300    
Income (loss) from operations     $ 200