Amputee sport performance has greatly improved over the past 20 years along with the development of carbon fibre prostheses. As the margins between winning and losing become smaller, athletes increasingly rely on prosthetic limb technology to give them an edge over other competitors and break existing records. Originally, the aim of improving prostheses was to try to increase performance by reducing the functional disadvantage of the prosthetic foot compared to the human foot. However, claims have been made recently that not only have the functional disadvantages been redressed, but today's sprint prostheses may provide a mechanical advantage over the human limb. This review will present what is currently known about carbon fibre prostheses and their effect on the running technique of transtibial amputees.