Abstract：Objective To investigate the surgical management strategies for stump problems fol-lowing trauma-related amputation of lower limb. Methods From November 1992 to August 2008, 72 consecutive patients, who had been troubled by stump problems after above-the-ankle amputation due to trauma, underwent revision surgery of the stump. They were 47 men and 25 women, aged from 9 to 60 (average, 28.8±12.4) years old. The stump problems in all these cases were analyzed retrospectively. Gender, unilateral or bilateral amputation, amputation level, trauma cause were hypothesized as group factors; duration between the original amputation and the first revision surgery, soft tissue redundancy, scar, ulcer, neuroma, and exostosis were taken as levels in each group. The correlations between factors and levels were analyzed statistically. Activities of daily living (ADL) scores were also obtained to estimate effectiveness of the management strategies. Results Eighty problem stumps were treated surgically, including 48 above-knee amputations and 32 below-knee amputations. The duration from the original amputation to the first revision surgery in the below-knee amputation cases was longer than that in the above-knee amputation ones( P = 0.030); the soft tissue redundancy in the above-knee amputation cases was higher than in the below-knee amputation ones (P=0.007); the exostosis in the unilateral amputation was higher than in the bilateral one (P=0.018). The differences in the A DL scores in 41 cases between initial hospitalization and discharge were significant (t=-11.536, P=0.000) . Conclusion Since stump problems following trauma-related amputation of lower limb can have crucial influence on living and work of the amputees, appropriate surgical management should be recommended due to its reliable therapeutic effects.