The different hip types according to Graf [16]

Graf-typeAgeBony roof α angleBony rimCartilaginous roof β angle
I: mature hipEvery ageGood, α ≥ 60°Angular/BluntCovering femoral head, β < 55°
IIa: physiological immature, age-appropriate< 12 weeksSufficient, α = 50°–59°RoundCovering femoral head
IIa+: physiological immature, age-appropriate> 6 weeks
IIa-: physiological immature, maturation deficit> 6 weeksInadequate, α = 50°–59°
IIb: delay in bony maturation> 12 weeks
IIc: critical hipEvery ageHighly insufficient, α = 43°–49°Round to flattenedCovering femoral head, stable, β < 77°
D: hip with beginning decentrationDisplaced, β > 77°
III: decentred hipBad, α < 43°FlattenedPressed upwards
IV: decentred hipPressed downwards