Madeline Mackechnie, PhD, MA

Assistant Professor

Clinical Research

Basic/Translational Research

Trauma & Problem Fractures

Orthopaedic Trauma Institute at Zuckerberg San Francisco General - Trauma & Problem Fractures

2540 23rd Street,
San Francisco CA 94110

4154762124

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Publications

Flores MJ, MacKechnie MC, Brown KE, O'Marr JM, Rodarte P, Socci A, Miclau T. The Current State of International Academic Partnerships in Orthopaedic Surgery Between High-Income and Low and Middle-Income Countries: A Systematic Review. JB JS Open Access. 2024 Jul-Sep; 9(3). PMID: 39281293
Flores MJ, MacKechnie MC, Rodarte P, O'Marr JM, Brown KE, Shearer DW, Miclau T, COACT Delphi Study Group. Critical elements of international academic partnerships in orthopaedic surgery: a modified Delphi approach. OTA Int. 2024 Sep; 7(3):e343. PMID: 39165390
Armstrong E, Rogers K, Li CS, Jagnoor J, Moroz P, Oguzie GC, Hailu S, Miclau T, de la Huerta F, Martinez-Ruiz JJ, Bidolegui F, Zhou J, Ma X, Wu B, Sancheti P, Quang N, Baigi V, Haddadi M, Tian M, Sprague S, Devereaux PJ, Bhandari M, Ivers R, INORMUS Investigators. Time from injury to hip-fracture surgery in low-income and middle-income regions: a secondary analysis of data from the International Orthopaedic Multicentre Study in Fracture Care (INORMUS). Lancet Healthy Longev. 2024 Aug; 5(8):e552-e562. PMID: 39025101
Amaral A, Calcado I, Gomez A, Ricci C, Oberlohr V, Mackechnie MC, Miclau Iii T, Giordano V. The Perspective of Brazilian Women Orthopaedic Surgeons on Gender Discrimination: Initial Insights to Understand Gender Bias in the Brazilian Healthcare System. Cureus. 2024 May; 16(5):e61325. PMID: 38947667
Oberlohr V, Giordano V, Hungria JOS, Caiero M, Pires RE, da Silva LHP, Pallottino A, Sanchez GT, Labronici PJ, MacKechnie M, Miclau T. LEADERSHIP DEVELOPMENT TRAINING FOR BRAZILIAN ORTHOPEDIC SURGEONS. Acta Ortop Bras. 2024; 32(1):e272375. PMID: 38532865
Flores MJ, Brown KE, MacKechnie MC, O'Marr JM, Rodarte P, Shearer DW. An Analysis of Participant Preferences Regarding Virtual Versus In-person Format of Orthopaedic Surgery Educational Materials in Low- and Middle-Income Countries. J Am Acad Orthop Surg Glob Res Rev. 2024 Mar 01; 8(3). PMID: 38437056
Oberlohr V, Padilla L, Gómez M, MacKechnie MC, Miclau T. Instrucción para el Desarrollo del Liderazgo en Apoyo de los Esfuerzos Multinacionales de Investigación. Orthotips. 2024; 3(20):204-209.
MacKechnie MC, Miclau E, MacKechnie MA, Miclau T. Leadership development training for orthopaedic trauma surgeons: an international survey. OTA Int. 2024 Mar; 7(1):e302. PMID: 38155733
MacKechnie MC, Shearer DW, Verhofstad MHJ, Martin C, Graham SM, Pesantez R, Schuetz M, Hüttl T, Kojima K, Bernstein BP, Miclau T, the Delphi Study Group. Establishing Consensus on Essential Resources for Musculoskeletal Trauma Care Worldwide: A Modified Delphi Study. J Bone Joint Surg Am. 2024 01 03; 106(1):47-55. PMID: 37708306
Oberlohr V, Tabares Neyra H, MacKechnie MC, Flores MJ, Ceballos Mesa A, Veliz Martínez P, Balmaseda Manent R, Miclau T. Evaluation of a Leadership Course for Orthopaedic Surgeons in Cuba. Revista Cubana de Ortopedia y Traumatologia. 2023; 1(37):625.
Brown KE, Flores MJ, MacKechnie MC, Rodarte P, O'Marr J, Shearer DW, Toogood P. Novel e-learning platform for orthopaedic training in LMICs: A descriptive review of the IGOT portal. Surg Open Sci. 2023 Jun; 13:24-26. PMID: 37351189
Urva M, Cortez A, Katyal T, Shearer DW, Morshed S, Miclau T, MacKechnie MC, Sabharwal S, COACT Study Group . Orthopaedic trauma observerships in North America for international surgeons: the visitors' perspective. OTA Int. 2023 Mar; 6(1):e229. PMID: 36760658
Flores MJ, Brown KE, Pendleton MM, Albright PD, MacKechnie MC, Guerrero Rodriguez E, Ramírez C, Peña Martínez VM, Miclau T. Barriers to and Outcomes of Initiating Clinical Research at Two Trauma Centers in Mexico. J Surg Res. 2023 04; 284:1-5. PMID: 36525816
Brown KE, Solaiman RH, Flores MJ, Nadone H, MacKechnie MC, Shearer DW, Miclau T. Opportunities for International Orthopaedic Volunteerism: An Exploration of United States and Canada-Based Nonprofit Organizations. J Bone Joint Surg Am. 2023 04 05; 105(7):571-577. PMID: 36730608
MacKechnie MC, Albright PD, Garabano G, Bidolegui F, Pereira S, Pesciallo CA, Miclau T. Open tibial shaft fracture management in Argentina: an evaluation of treatment standards in diverse resource settings. OTA Int. 2022 Sep; 5(3):e209. PMID: 36425094
Garabano G, MacKechnie MC, Pereira S, Brown K, Flores MJ, Pesciallo CA, Miclau T, Bidolegui F. Open Tibial Fracture Treatment in Argentina: Reoperation Rates Following Surgical Management. JB JS Open Access. 2022 Apr-Jun; 7(2). PMID: 35747171
MacKechnie MC, Miclau TA, Cordero DM, Tahir P, Miclau T. Leadership development programs for healthcare professionals in low-and middle-income countries: A systematic review. Int J Health Plann Manage. 2022 Jul; 37(4):2149-2166. PMID: 35398927
MacKechnie MC, Flores MJ, Giordano V, Terry MJ, Garuz M, Lee N, Padilla Rojas LG, MacKechnie MA, Bidolegui F, Brown K, Quintero JE, Ding A, Sanchez Valenciano CG, Tabares Neyra H, Segovia J, Aguilar D, van Lieshout EM, Verhofstad MH, Miclau T. Management of soft-tissue coverage of open tibia fractures in Latin America: Techniques, timing, and resources. Injury. 2022 Apr; 53(4):1422-1429. PMID: 35101259
Miclau T, MacKechnie MC, Born CT, MacKechnie MA, Dyer GSM, Yuan BJ, Dawson J, Lee C, Ishmael CR, Schreiber VM, Tejwani NC, Ulmer T, Shearer DW, Agarwal-Harding KJ, Johal H, Khormaee S, Sprague S, Whiting PS, Roberts HJ, Coughlin R, Gosselin R, Rosenwasser MP, Johnson A, Babu JM, Dworkin M, Makhni MC, McClellan T, Nwachuku CO, Miclau E, Morshed S. International Orthopaedic Volunteer Opportunities in Low and Middle-Income Countries. J Bone Joint Surg Am. 2022 05 18; 104(10):e44. PMID: 34932526
Roberts HJ, MacKechnie MC, Shearer DW, Segovia Altieri J, de la Huerta F, Rio MW, Sánchez Valenciano C, Miclau T, ACTUAR Study Group. Orthopaedic Trauma Research Priorities in Latin America: Developing Consensus Through a Modified Delphi Approach. J Bone Joint Surg Am. 2021 12 15; 103(24):2318-2323. PMID: 34559719
MacKechnie MC, MacKechnie MA, van Lieshout EMM, Verhofstad MHJ, Quintero JE, Padilla Rojas LG, Tabares Neyra H, Russo BD, Giordano V, Vilensky E, Fuehrer SL, Miclau T. Leadership development for orthopaedic trauma surgeons in Latin America: opportunities for and barriers to skill acquisition. OTA Int. 2021 Dec; 4(4):e146. PMID: 34765897
MacKechnie MC, Albright PD, Tabares Saez H, et at.. Management of Open Tibia Fractures in Cuba | Manejo de Fracturas Abiertas de Tibia en Cuba. Rev Cuba de Orto y Traumatol. 2021; 2(35):e405.
MacKechnie MC, Padilla L, de la Huerta F, Lopez Almejo L, Gómez JM, Quintero Hernandez S, Miclau T, y Grupo de Programa de Desarrollo de Liderazgo. Creación de Capacidades para el Desarrollo de Liderazgo a los Cirujanos Ortopédicos en América Latina. Orthotips. 2021; 4(17):211-216.
Holler JT, MacKechnie MC, Albright PD, Morshed S, Shearer DW, Terry MJ. The Impact of Inadequate Soft-tissue Coverage following Severe Open Tibia Fractures in Tanzania. Plast Reconstr Surg Glob Open. 2020 Dec; 8(12):e3272. PMID: 33425587
Albright PD, MacKechnie MC, Roberts HJ, Shearer DW, Padilla Rojas LG, Segovia J, Quintero JE, Amadei R, Baldy Dos Reis F, Miclau T, and the ACTUAR Open Tibia Study Group. Open Tibial Shaft Fractures: Treatment Patterns in Latin America. J Bone Joint Surg Am. 2020 Nov 18; 102(22):e126. PMID: 32890042
Roberts HJ, Albright PD, Shearer DW, Won N, MacKechnie MC, Richard Coughlin R, Miclau T, Morshed S, Sabharwal S, COACT Resident Rotation Study Group. Motivations and impact of international rotations in low- and middle-income countries for orthopaedic surgery residents: Are we on the same page? Am J Surg. 2021 02; 221(2):245-253. PMID: 33092782
Demetri L, Donnelley CA, MacKechnie MC, Toogood P. Comparison of Case-Based Learning and Traditional Lectures in an Orthopedic Residency Anatomy Course. J Surg Educ. 2021 Mar-Apr; 78(2):679-685. PMID: 32888846
MacKechnie MC, Nadeau M, Deering E, Thaller J, MacKechnie MA. Orthopaedic Walk-In Clinics: A model to lessen the burden on Emergency Departments during the COVID-19 pandemic. J Orthop. 2020 Jul-Aug; 20:293-296. PMID: 32476778
Pouramin P, Li CS, Busse JW, Sprague S, Devereaux PJ, Jagnoor J, Ivers R, Bhandari M, INORMUS investigators. Delays in hospital admissions in patients with fractures across 18 low-income and middle-income countries (INORMUS): a prospective observational study. Lancet Glob Health. 2020 05; 8(5):e711-e720. PMID: 32353318
Rojas LGP, Hernández SQ, Ávila JMJ, Cervantes REL, Enghelmayer RA, Pesciallo C, Garabano G, Mackechnie MC, Quintero JE, Kojima KE. Hip fracture care-Latin America. OTA Int. 2020 Mar; 3(1):e064. PMID: 33937686
Albright PD, Mackechnie MC, Jackson JH, Chopra A, Holler JT, Flores Biard A, Padilla Rojas LG, Morshed S, Miclau T, Shearer DW, Terry MJ. Knowledge deficits and barriers to performing soft-tissue coverage procedures: An analysis of participants in an orthopaedic surgical skills training course in Mexico. OTA Int. 2019 Dec; 2(4):e044. PMID: 33937672
Pouramin P, Li CS, Sprague S, Busse JW, Bhandari M. A multicenter observational study on the distribution of orthopaedic fracture types across 17 low- and middle-income countries. OTA Int. 2019 Sep; 2(3):e026. PMID: 33937655
Miclau T, MacKechnie MC, Shearer DW, ACTUAR group. Asociación de Cirujanos Traumatólogos de las Américas: Development of a Latin American Research Consortium. J Orthop Trauma. 2018 Oct; 32 Suppl 7:S8-S11. PMID: 30247391
Miclau T, MacKechnie MC, Shearer DW, COACT group. Consortium of Orthopaedic Academic Traumatologists: A Model for Collaboration in Orthopaedic Surgery. J Orthop Trauma. 2018 Oct; 32 Suppl 7:S3-S7. PMID: 30247390
Sprague S, McKay P, Li CS, Ivers R, Moroz PJ, Jagnoor J, Bhandari M, Miclau T, INORMUS Investigators. International Orthopaedic Multicenter Study in Fracture Care: Coordinating a Large-Scale Multicenter Global Prospective Cohort Study. J Orthop Trauma. 2018 Oct; 32 Suppl 7:S58-S63. PMID: 30247403
Chomsky-Higgins K, Miclau TA, Mackechnie MC, Aguilar D, Avila JR, Dos Reis FB, Balmaseda R, Barquet A, Ceballos A, Contreras F, Escalante I, Elias N, Vincenti SI, Lozano C, Medina F, Merchan G, Segovia J, Guerado E, Quintero JE, Morshed S, Bhandari M, Miclau T. Barriers to Clinical Research in Latin America. Front Public Health. 2017; 5:57. PMID: 28459047

Awards and Honors

Grant Recipient to Advance Musculoskeletal Care in Latin America (ACTUAR)
2026
Grant Recipient to Advance Musculoskeletal Care in Latin America (ACTUAR), Wyss Medical Foundation, 2026-2029
Wyss Medical Foundation
Seed Funding for Multicenter Stepped-Wedge Cluster Randomized Trial
2026
Seed Funding for Multicenter Stepped-Wedge Cluster Randomized Trial, UCSF Department of Orthopaedic Surgery, 2026-2027
UCSF Department of Orthopaedic Surgery
Finalist for Impact Award for Best Overall Paper
2022
Finalist for Impact Award for Best Overall Paper, International Orthopaedic Trauma Association/Dutch Trauma Society Conference, 2022
International Orthopaedic Trauma Association/Dutch Trauma Society Conference
Staff Appreciation and Recognition (STAR) Achievement Award
2021
Staff Appreciation and Recognition (STAR) Achievement Award, University of California, San Francisco (UCSF) School of Medicine, 2021
University of California, San Francisco (UCSF) School of Medicine

Education

Degree	Organization	Year
	PhD	Erasmus University
	MA	Queen’s University
	BA Honors	York University

About Madeline Mackechnie, PhD, MA

Dr. Madeline MacKechnie is an Assistant Professor in the Department of Orthopaedic Surgery, investigating global orthopaedic trauma care. As a PhD-trained clinical researcher with a specialization in orthopaedic trauma, she leads multi-center clinical trials and collaborative research studies evaluating definitive treatments for patients with musculoskeletal injuries. Her primary area of focus is on the management of open tibia fractures, one of the most prevalent, complex, and socioeconomically challenging traumatic injuries in low- and middle-income countries (LMICs). Her long-term goal is to improve outcomes following injury by developing scalable, low-cost interventions and implementation strategies that can be adopted across resource-limited settings.

Dr. MacKechnie joined UCSF in 2016 to support the Department’s international academic organization, the Institute for Global Orthopaedics and Traumatology (IGOT). Since 2021, she has served as IGOT’s Director of Global Programs, supporting clinical research and educational programs for surgeons worldwide.

Madeline Mackechnie, PhD, MA