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evels and using local bone grafts in older patients, those with a high BMI, and patients with severe acetabular dysplasia. Level of evidence Level III, therapeutic study.Background Long-term follow-up studies are an important tool in the evaluation of orthopaedic illness and its treatment options. However, a patient's participation in a follow-up study may be affected by several factors, leading to variability in response rates and the risk of selection bias. Questions/purposes (1) What is the average response rate in hand surgery que