
Overview
I am an orthopaedic surgeon who is the chief of hand surgery at Duke. Although we are referred to as “hand surgeons,” I treat many people with wrist and elbow conditions. Because the hand is so complex, patients who see me can have complaints that range from numbness and weakness to issues with range of motion. My grandfather, my grandmother, my mother and my father were all health care workers. I have wanted to be a surgeon since I watched M*A*S*H on the television as a child. I obtain great satisfaction from treating someone who has a very severe hand or arm injury, reconstructing the part and restoring its basic function. Duke has been the strongest hand surgery program in the country for the past 50 to 75 years. As chair of the program, I want patients to know that the best and the brightest providers are seeing them when they come to Duke.
Dr. Ruch is rated as an Experienced provider by MediFind in the treatment of Osteonecrosis. His top areas of expertise are Carpal Tunnel Syndrome, Tennis Elbow, Rhizarthrosis, Osteotomy, and Bone Graft.
His clinical research consists of co-authoring 110 peer reviewed articles and participating in 2 clinical trials. MediFind looks at clinical research from the past 15 years. In particular, he has co-authored 2 articles in the study of Osteonecrosis.
Insurance
Accepted insurance can change. Please verify directly with the provider.
Accepted insurance plans:
- EPO
- HMO
- POS
- PPO
- EPO
- HMO
- PPO
- EPO
- HMO
- POS
- PPO
- EPO
- HMO
- POS
- PPO
- EPO
- HMO
- PPO
- HMO
- INDEMNITY
- POS
- PPO
- EPO
- POS
- PPO
- OTHER MEDICAID
- STATE MEDICAID
- INSURANCE PLAN
- MANAGED MEDICAID PLAN
- MEDICARE MAPD
- MEDICARE PDP
- MEDICARE SNP
- MEDICARE-MEDICAID PLAN
- OTHER MEDICARE PART D
- HMO
- POS
- EPO
- HMO
- POS
- PPO
- EPO
- HMO
- INSURANCE PLAN
- MANAGED MEDICAID PLAN
- MEDICARE MAPD
- MEDICARE PDP
- MEDICARE SNP
- MEDICARE-MEDICAID PLAN
- OTHER MEDICARE
- OTHER MEDICARE PART D
Locations
2400 Pratt St, Durham, NC 27710
Additional Areas of Focus
Dr. Ruch has provided the following conditions as areas of focus. Please note that we may not have enough data to validate their experience in some of these conditions.
Clinical Research
Clinical research consists of overseeing clinical studies of patients undergoing new treatments and therapies, and publishing articles in peer reviewed medical journals. Providers who actively participate in clinical research are generally at the forefront of the fields and aware of the most up-to-date advances in treatments for their patients.
2 Clinical Trials
Duke Ambulatory Surgery Center Arringdon
Samuel Wellman is a General Surgeon and an Orthopedics provider in Morrisville, North Carolina. Dr. Wellman is rated as a Distinguished provider by MediFind in the treatment of Osteonecrosis. His top areas of expertise are Osteoarthritis, Infectious Arthritis, Septic Arthritis, Hip Replacement, and Knee Replacement. Dr. Wellman is currently accepting new patients.
Duke Ambulatory Surgery Center Arringdon
Duke Health offers me a special opportunity to treat diverse pathologies in patients from all over the world. My choice to pursue a career as a hip and knee surgeon centered around the ability to achieve exceptional patient outcomes. There is no greater reward than fostering a close relationship with a patient, working with them to customize a treatment specific to their needs, and helping them return to the highest possible function with the least pain, whether just going for walks or returning to sports. I believe in a systematic approach to hip and knee pain, as well as offering a spectrum of nonoperative and surgical treatment options tailored to each patient. Whether you are younger and have never had surgery or have continued pain after a prior surgery and want a second opinion, I am looking forward to hearing your story and working together to improve your function. Dr. Ryan is rated as a Distinguished provider by MediFind in the treatment of Osteonecrosis. His top areas of expertise are Osteoarthritis, Arthritis, Infectious Arthritis, Hip Replacement, and Knee Replacement.
Duke Orthopaedics Arringdon
I am an orthopaedic physician and work in adult reconstructive orthopaedics, predominantly with hip- and knee-replacement surgeries. I also help manage revision surgeries and take care of people with infections or fractures around their implants. I am interested in the whole continuum of care for arthritis and not just the surgical treatment of it. Even though I specialize in surgery, not everyone needs that treatment, and as an orthopaedic doctor, my role is to help direct the whole process. The care around revision surgeries at other centers is tertiary and many times not at the same place, but here at Duke we treat patients every step of the way at the same practice and have access to the latest treatments. Dr. Jiranek is rated as a Distinguished provider by MediFind in the treatment of Osteonecrosis. His top areas of expertise are Osteoarthritis, Infectious Arthritis, Septic Arthritis, Knee Replacement, and Hip Replacement.
Areas of Expertise
MediFind evaluates expertise by pulling from factors such as number of articles a doctor has published in medical journals, participation in clinical trials, speaking at industry conferences, prescribing and referral patterns, and strength of connections with other experts in their field.
Learn more about MediFind’s expert tiers
- Distinguished
- Carpal Tunnel SyndromeDr. Ruch isDistinguished. Learn about Carpal Tunnel Syndrome.
- Tennis ElbowDr. Ruch isDistinguished. Learn about Tennis Elbow.
- Advanced
- Mononeuritis MultiplexDr. Ruch isAdvanced. Learn about Mononeuritis Multiplex.
- OsteoarthritisDr. Ruch isAdvanced. Learn about Osteoarthritis.
- OsteotomyDr. Ruch isAdvanced. Learn about Osteotomy.
- RhizarthrosisDr. Ruch isAdvanced. Learn about Rhizarthrosis.
- Scaphoid Non-UnionDr. Ruch isAdvanced. Learn about Scaphoid Non-Union.
- TendinitisDr. Ruch isAdvanced. Learn about Tendinitis.
- Experienced
- ArthritisDr. Ruch isExperienced. Learn about Arthritis.
- Axillary Nerve DysfunctionDr. Ruch isExperienced. Learn about Axillary Nerve Dysfunction.
- Bone GraftDr. Ruch isExperienced. Learn about Bone Graft.
- Brachial PlexopathyDr. Ruch isExperienced. Learn about Brachial Plexopathy.
- BursitisDr. Ruch isExperienced. Learn about Bursitis.
- Distal Median Nerve DysfunctionDr. Ruch isExperienced. Learn about Distal Median Nerve Dysfunction.



