Kitesurfing - a sport that combines freedom, wind, and water. But what if your own hip joint is no longer up to it? A hip prosthesis (hip TEP) sounds like the end of such sporting adventures at first. However, modern medical technology and advanced implants now enable some people to get back on the board despite having an artificial hip joint. In this article, you'll learn how kitesurfing with a hip prosthesis is possible, what risks are involved, and why a short-stem prosthesis can be an advantage here.

Thanks to medical advances and durable materials, artificial hip joints are more robust and resilient than ever before. Short-stem prostheses are particularly popular as they preserve the bone structure and enable faster mobilization. This is a real benefit, especially for athletes - and those who want to become athletes again.

Understanding artificial hip joint

What is a Hip Prosthesis?

A hip prosthesis replaces the natural hip joint when it is severely damaged by osteoarthritis, injuries, or other conditions. The artificial joint is usually made of metal, ceramic, and polyethylene and mimics the mobility of the natural hip joint.

Reasons for using a hip prosthesis

Typical causes that make a hip prosthesis necessary:

• Osteoarthritis – the most common reason, due to cartilage wear
• Femoral head necrosis – Death of the femoral head
• Fractures – breaks in the hip area, e.g., after accidents
• Dysplasia – congenital malposition of the hip joint

Different Types of Hip Prostheses

There are various types of prostheses, including:

• Total hip replacement (THR) – replaces femoral head and acetabulum
• Short-Stem Prosthesis - shorter anchorage in the femur
• Resurfacing prosthesis – Femoral head largely preserved

Kitesurfing: An Overview

History and Development of Kitesurfing

Kitesurfing emerged in the 1990s and developed rapidly. Today, it is a popular extreme sport that harnesses wind power and wave motion to glide across the water – and perform spectacular jumps.

Physical Requirements and Health Benefits

Kitesurfing trains strength, coordination, and balance. It strengthens the core, legs, and improves the cardiovascular system. However, the sport also demands the musculoskeletal system – particularly the hip.

Possible risks and injuries in kitesurfing

Kitesurfing carries injury risks such as falls, twists, or hard landings. For people with a hip prosthesis, it is essential to keep the stresses in view.

Kitesurfing with a hip prosthesis: What is possible?

Many people believe that with a hip prosthesis, sports like kitesurfing are taboo. But that is no longer the case. More and more reports show that those who are motivated and undergo good rehabilitation and are already an experienced kiter can fly the kite again. The choice of the right prosthesis, targeted training and awareness of possible risks are crucial.

Medical Assessment: What Do Doctors Say?

Orthopaedists advise individual assessment. Factors such as prosthesis stability, muscle strength, and mobility play a role. Careful rehabilitation is essential. Patients should already be very experienced on the kiteboard.

Experiences of kitesurfers with hip prosthesis

More and more patients are reporting positive experiences today. Modern prostheses often provide enough stability and freedom of movement to get back on the board safely.

Adjustments and Precautions When Kitesurfing

• Soft start and gentle takeoff: Avoid strong shocks
• Suitable harness: Seat harnesses relieve the hip
• Controlled Jumps: No Unnecessary Stress Peaks

Benefits of short-stem prosthesis for active athletes

What is a short stem prosthesis?

The short-stem prosthesis is shorter and gentler on the bone. It preserves more bone substance and often offers better mobility – ideal for sports-active people.

Short stem prostheses offer several decisive advantages compared to conventional prostheses:

• Preservation of the Femur: The shorter anchorage preserves more bone substance.
• Better mobility: Kitesurfers benefit from a more natural movement guidance.
• Faster Rehabilitation: Shorter operation times and fewer soft tissue injuries mean a faster return to sports.
• Lower risk of dislocation: The modern design enables a more stable joint guidance.

Long-term Studies and Success Rates

Studies show that short-stem prostheses provide good long-term results in active patients. The loosening rate is low and revision surgery is simpler. However, specific studies on kitesurfing are not available.

Foil kitesurfing: a gentle alternative with an artificial hip joint

Introduction to Foil Kitesurfing

When foil-kitesurfing, the board glides on a hydrofoil that functions like a wing underwater. This minimizes resistance and shock.

Advantages regarding shock loading

Foil kitesurfing generates smoother movements. Landings and wave impacts are significantly softer, which spares the hip prosthesis.

Experiences and Recommendations

Some kitesurfers with hip prostheses report that they can surf more smoothly and controlled with the foil. Especially after hip surgery, this offers an interesting alternative.

Training and Rehabilitation Programs

Preparation for Kitesurfing after Surgery

Physiotherapy and muscle building are essential. In particular, core and leg strength as well as balance should be trained.

Specific exercises to strengthen the hip

• Leg raise
• Leg press with light load
• Balance exercises on a wobble board

Role of physiotherapy

An experienced physiotherapist accompanies the rehabilitation, adjusts the exercises, and ensures proper load control.

Risks of Kitesurfing with Hip Prosthesis

 Periprosthetic fracture – when the bone breaks

A significant risk when kitesurfing with a hip prosthesis is the so-called periprosthetic fracture – a fracture of the bone directly at the prosthesis anchorage. Especially falls with high impact energy, such as failed landings after jumps, can cause such fractures.

Causes and risk factors

• Hard landings: Jumps and uncontrolled falls put enormous stress on the bone.
• Osteoporosis: A weakened bone increases the risk of fracture.
• Long prosthesis stems: They increase the risk of lever effects in the bone.

👉 Short stem prostheses significantly reduce this risk as they put less strain on the bone.

🔧 Dislocation – when the hip joint dislocates

Another risk is dislocation – the dislocation of the artificial hip joint. Especially rotational movements and abrupt changes of direction can lead to dislocation.

Dangerous Movements:

• Hyperextension of the hip: For example, when "tweaking" a jump.
• Internal rotation: When the leg is rotated inward.
• Sudden shear forces: For example, during falls or wind gusts.

👉 Tip: Modern hip prostheses with a larger head and short stem design significantly reduce the risk of dislocation.

Risk of falls and injuries in the water

Kitesurfing remains a demanding sport – even with a prosthesis. Further dangers are:

• Crashes in shallow water: Hard impacts stress joints and bones.
• Twist injuries: Twisting in the water can damage muscles and tendons.

Equipment recommendations for kitesurfers with hip prosthesis

• Sit harness: Relieves the hip
• Softboards: Absorb shocks
• Helmet and crash protection vest: Additional protection

Travel destinations and spots for kitesurfers with special needs (hip TEP)

• Flat spots with little wave action: Ideal for return
• Local safety infrastructure: Rescue boat and medical care

Is windsurfing possible with a hip prosthesis (hip TEP)?

Windsurfing with Hip Prosthesis: Possibilities and Precautions

Windsurfing is also a dynamic sport that requires balance, strength, and flexibility. For individuals with a hip prosthesis, the question again arises as to whether and how they can continue to practice this sport. Again, thanks to modern medical advancements and individualized rehabilitation, many are able to get back on the board. However, several aspects should also be considered:

• Adjustment of training: A targeted training program to strengthen the surrounding muscles is essential to stabilize the artificial joint.
• Gentle Techniques: Avoiding jumps and abrupt movements that could excessively stress the joint.

Individual consultation: Close coordination with orthopedic surgeons and physiotherapists helps to optimally plan the return

Björn Dunkerbeck: A role model for windsurfers with hip prosthesis

An impressive prominent example is provided by the windsurfing legend Björn Dunkerbeck. The 42-time world champion underwent hip surgery in March 2024 and returned to the water remarkably quickly. Just eight weeks after the procedure, he was back on the board and reached speeds of up to 87 km/h at the Lüderitz Speed Challenge in Namibia. Dunkerbecks' experience shows that with a positive attitude, consistent rehabilitation, and the right medical team, top athletic performances are possible even after hip surgery

His example motivates many not to give up on sports despite health challenges and to find individually adapted ways to remain active.

Conclusion: Surfing with hip replacement – feasible with the right strategy

Surfing with a hip prosthesis is not an illusion – it's generally feasible, but not without risk! With the right prosthesis, careful preparation, and adapted technique, many kitesurfers can resume their passion, at least with adjusted intensity. The short-shaft prosthesis offers advantages to sporty patients. Those who want to start gently find an interesting alternative in foil kitesurfing. It's essential to individually check what's possible – as no artificial joint is the same.