Since qualifying in 1982, Mr Royle's training was mainly based in the Northwest region. He undertook general training in Orthopaedics and Trauma surgery at Preston, Wythenshawe, Salford and Blackburn Hospitals before undertaking 2 fellowships in 1992/3 at Wrightington Hospital (Hand surgery) and Haborview Medical Centre, Seattle (Trauma).
Mr Royle was appointed as a Consultant Orthopaedic & Trauma Surgeon in 1994 at Trafford General Hospital with a particular interest in hand, wrist and elbow surgery, but he also performed other operations such as joint replacements. In 2002 he moved to his current NHS post as a Consultant Hand & Trauma Surgeon at Stepping Hill Hospital in Stockport, where he is presently Clinical Director.
Mr Royle has written several research papers and give regular presentations and teaching sessions on hand problems and all aspects of trauma. In 1991 he gained a MD for a research project into lower leg injuries.
Mr Royle has extensive experience of musculo-skeletal trauma, fractures and sports injuries. Common conditions requiring surgery are hand and wrist injuries, carpal tunnel syndrome and other nerve problems, trigger fingers, Dupuytren's contracture, ganglions and other cysts and all forms of arthritis including a particular interest of Mr Royle's, rheumatoid arthritis.
The majority of hand and wrist operations can now be done as day cases with only a few requiring an overnight stay. Many operations require closely supervised follow-up provided by excellent support staff including dedicated physiotherapists, occupational therapists and nurse practitioners.