1. Complex Total Hip Replacement in a Patient with Epidermolytic Hyperkeratosis by Thomas L. Bernasek, and Elizabeth A. Rommel J Bone Joint Surg Am Volume 87(12):2775-2779 December 1, 2005 ©2005 by The Journal of Bone and Joint Surgery, Inc.

2. Photograph of the right hip, showing ichthyotic changes two months before total hip replacement. Thomas L. Bernasek, and Elizabeth A. Rommel J Bone Joint Surg Am 2005;87:2775-2779 ©2005 by The Journal of Bone and Joint Surgery, Inc.

3. Thomas L. Bernasek, and Elizabeth A. Rommel J Bone Joint Surg Am 2005;87:2775-2779 ©2005 by The Journal of Bone and Joint Surgery, Inc.

4. Thomas L. Bernasek, and Elizabeth A. Rommel J Bone Joint Surg Am 2005;87:2775-2779 ©2005 by The Journal of Bone and Joint Surgery, Inc.

5. Photograph of the right hip, made after thorough preparation for surgery, showing smooth skin without any raw or flaky areas. Thomas L. Bernasek, and Elizabeth A. Rommel J Bone Joint Surg Am 2005;87:2775-2779 ©2005 by The Journal of Bone and Joint Surgery, Inc.

6. Postoperative radiograph, made 8.5 years after left total hip replacement and six months after right total hip replacement, demonstrating well-fixed components with no radiolucent lines or evidence of loosening. Thomas L. Bernasek, and Elizabeth A. Rommel J Bone Joint Surg Am 2005;87:2775-2779 ©2005 by The Journal of Bone and Joint Surgery, Inc.