Mr Butler-Manuel began his medical training at St Thomas’s Hospital, London. His higher surgical training was carried out on the South East Thames Rotation which included one year at the Royal East Sussex Hospital in Hastings. He was appointed Consultant Orthopaedic Surgeon, with a special interest in lower limb surgery, at the Conquest Hospital in 1993.
Mr. Butler-Manuel specialises in knee replacement surgery. According to the latest NJR data, he has performed approximately 600 primary total knee replacements, 200 partial knee replacements and over 100 revision knee replacements in the last 3 years. He is a Faculty Member of the Oxford Partial Knee Group and helps train experienced surgeons in this technique. He also specialises in arthroscopic and ligament reconstruction surgery as well as maintaining his interest in orthopaedic trauma.
Mr Butler-Manuel has a major interest in Clinical Research. He regularly presents at national and international Knee Conferences. He helped establish a dedicated lower limb Research Unit at the Conquest Hospital. Current research studies include:- a randomised controlled study comparing functional results between an established (AGC) and a newer (Vanguard) knee replacements, a randomised controlled study comparing the outcomes following mobile bearing (TMK) and fixed bearing (AGC) knee replacements, a long term review of Oxford partial knee replacements to be submitted for publication in 2016, a randomised controlled comparison of ABG II hip replacements using either ceramic / ceramic or metal / poly bearings. He is also principal investigator at the Conquest for an international multicentre study comparing total hip replacement with hemiarthroplasty for fractured neck of femur.
Mr Butler-Manuel has also been Lead Audit Consultant and was Orthopaedic Clinical Lead at the Conquest from 2006 -2011.