Madeline Mackechnie, PhD, MA
Assistant Professor
Orthopaedic Surgery
School of Medicine

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.

• Traumatic injury associated with motorcycle incidents in Latin America: a systematic literature review.
  OTA international : the open access journal of orthopaedic trauma 2025 Monje CM, Oberlohr V, Arzuza L, MacKechnie MC, Cordero Herrera A, Molina Gándara J, Garizabalo Cantillo GJ, Tahir P, 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 Flores MJ, MacKechnie MC, Brown KE, O'Marr JM, Rodarte P, Socci A, Miclau T
• Critical elements of international academic partnerships in orthopaedic surgery: a modified Delphi approach.
  OTA international : the open access journal of orthopaedic trauma 2024 Flores MJ, MacKechnie MC, Rodarte P, O'Marr JM, Brown KE, Shearer DW, Miclau T, COACT Delphi Study Group
• 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).
  The lancet. Healthy longevity 2024 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, …
• The Perspective of Brazilian Women Orthopaedic Surgeons on Gender Discrimination: Initial Insights to Understand Gender Bias in the Brazilian Healthcare System.
  Cureus 2024 Amaral A, Calcado I, Gomez A, Ricci C, Oberlohr V, Mackechnie MC, Miclau Iii T, Giordano V
• LEADERSHIP DEVELOPMENT TRAINING FOR BRAZILIAN ORTHOPEDIC SURGEONS.
  Acta ortopedica brasileira 2024 Oberlohr V, Giordano V, Hungria JOS, Caiero M, Pires RE, da Silva LHP, Pallottino A, Sanchez GT, Labronici PJ, MacKechnie M, Miclau T
• An Analysis of Participant Preferences Regarding Virtual Versus In-person Format of Orthopaedic Surgery Educational Materials in Low- and Middle-Income Countries.
  Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews 2024 Flores MJ, Brown KE, MacKechnie MC, O'Marr JM, Rodarte P, Shearer DW
• Instrucción para el Desarrollo del Liderazgo en Apoyo de los Esfuerzos Multinacionales de Investigación
  Orthotips 2024 Oberlohr V, Padilla L, Gómez M, MacKechnie MC, Miclau T
• Leadership development training for orthopaedic trauma surgeons: an international survey.
  OTA international : the open access journal of orthopaedic trauma 2023 MacKechnie MC, Miclau E, MacKechnie MA, Miclau T
• Establishing Consensus on Essential Resources for Musculoskeletal Trauma Care Worldwide: A Modified Delphi Study.
  The Journal of bone and joint surgery. American volume 2023 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
• Evaluation of a Leadership Course for Orthopaedic Surgeons in Cuba
  Revista Cubana de Ortopedia y Traumatologia 2023 Oberlohr V, Tabares Neyra H, MacKechnie MC, Flores MJ, Ceballos Mesa A, Veliz Martínez P, Balmaseda Manent R, Miclau T
• Novel e-learning platform for orthopaedic training in LMICs: A descriptive review of the IGOT portal.
  Surgery open science 2023 Brown KE, Flores MJ, MacKechnie MC, Rodarte P, O'Marr J, Shearer DW, Toogood P
• Orthopaedic trauma observerships in North America for international surgeons: the visitors' perspective.
  OTA international : the open access journal of orthopaedic trauma 2023 Urva M, Cortez A, Katyal T, Shearer DW, Morshed S, Miclau T, MacKechnie MC, Sabharwal S, COACT Study Group
• Barriers to and Outcomes of Initiating Clinical Research at Two Trauma Centers in Mexico.
  The Journal of surgical research 2022 Flores MJ, Brown KE, Pendleton MM, Albright PD, MacKechnie MC, Guerrero Rodriguez E, Ramírez C, Peña Martínez VM, Miclau T
• Opportunities for International Orthopaedic Volunteerism: An Exploration of United States and Canada-Based Nonprofit Organizations.
  The Journal of bone and joint surgery. American volume 2022 Brown KE, Solaiman RH, Flores MJ, Nadone H, MacKechnie MC, Shearer DW, Miclau T
• Open tibial shaft fracture management in Argentina: an evaluation of treatment standards in diverse resource settings.
  OTA international : the open access journal of orthopaedic trauma 2022 MacKechnie MC, Albright PD, Garabano G, Bidolegui F, Pereira S, Pesciallo CA, Miclau T
• Open Tibial Fracture Treatment in Argentina: Reoperation Rates Following Surgical Management.
  JB & JS open access 2022 Garabano G, MacKechnie MC, Pereira S, Brown K, Flores MJ, Pesciallo CA, Miclau T, Bidolegui F
• Leadership development programs for healthcare professionals in low-and middle-income countries: A systematic review.
  The International journal of health planning and management 2022 MacKechnie MC, Miclau TA, Cordero DM, Tahir P, Miclau T
• Management of soft-tissue coverage of open tibia fractures in Latin America: Techniques, timing, and resources.
  Injury 2022 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…
• International Orthopaedic Volunteer Opportunities in Low and Middle-Income Countries.
  The Journal of bone and joint surgery. American volume 2021 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, …
• Orthopaedic Trauma Research Priorities in Latin America: Developing Consensus Through a Modified Delphi Approach.
  The Journal of bone and joint surgery. American volume 2021 Roberts HJ, MacKechnie MC, Shearer DW, Segovia Altieri J, de la Huerta F, Rio MW, Sánchez Valenciano C, Miclau T, ACTUAR Study Group
• Leadership development for orthopaedic trauma surgeons in Latin America: opportunities for and barriers to skill acquisition.
  OTA international : the open access journal of orthopaedic trauma 2021 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
• Management of Open Tibia Fractures in Cuba | Manejo de Fracturas Abiertas de Tibia en Cuba
  Rev Cuba de Orto y Traumatol 2021 MacKechnie MC, Albright PD, Tabares Saez H, et at.
• Creación de Capacidades para el Desarrollo de Liderazgo a los Cirujanos Ortopédicos en América Latina
  Orthotips 2021 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
• The Impact of Inadequate Soft-tissue Coverage following Severe Open Tibia Fractures in Tanzania.
  Plastic and reconstructive surgery. Global open 2020 Holler JT, MacKechnie MC, Albright PD, Morshed S, Shearer DW, Terry MJ
• Open Tibial Shaft Fractures: Treatment Patterns in Latin America.
  The Journal of bone and joint surgery. American volume 2020 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
• Motivations and impact of international rotations in low- and middle-income countries for orthopaedic surgery residents: Are we on the same page?
  American journal of surgery 2020 Roberts HJ, Albright PD, Shearer DW, Won N, MacKechnie MC, Richard Coughlin R, Miclau T, Morshed S, Sabharwal S, COACT Resident Rotation Study Group
• Comparison of Case-Based Learning and Traditional Lectures in an Orthopedic Residency Anatomy Course.
  Journal of surgical education 2020 Demetri L, Donnelley CA, MacKechnie MC, Toogood P
• Orthopaedic Walk-In Clinics: A model to lessen the burden on Emergency Departments during the COVID-19 pandemic.
  Journal of orthopaedics 2020 MacKechnie MC, Nadeau M, Deering E, Thaller J, MacKechnie MA
• Delays in hospital admissions in patients with fractures across 18 low-income and middle-income countries (INORMUS): a prospective observational study.
  The Lancet. Global health 2020 Pouramin P, Li CS, Busse JW, Sprague S, Devereaux PJ, Jagnoor J, Ivers R, Bhandari M, INORMUS investigators
• Hip fracture care-Latin America.
  OTA international : the open access journal of orthopaedic trauma 2020 Rojas LGP, Hernández SQ, Ávila JMJ, Cervantes REL, Enghelmayer RA, Pesciallo C, Garabano G, Mackechnie MC, Quintero JE, Kojima KE
• Knowledge deficits and barriers to performing soft-tissue coverage procedures: An analysis of participants in an orthopaedic surgical skills training course in Mexico.
  OTA international : the open access journal of orthopaedic trauma 2019 Albright PD, Mackechnie MC, Jackson JH, Chopra A, Holler JT, Flores Biard A, Padilla Rojas LG, Morshed S, Miclau T, Shearer DW, Terry MJ
• A multicenter observational study on the distribution of orthopaedic fracture types across 17 low- and middle-income countries.
  OTA international : the open access journal of orthopaedic trauma 2019 Pouramin P, Li CS, Sprague S, Busse JW, Bhandari M
• Asociación de Cirujanos Traumatólogos de las Américas: Development of a Latin American Research Consortium.
  Journal of orthopaedic trauma 2018 Miclau T, MacKechnie MC, Shearer DW, ACTUAR group
• Consortium of Orthopaedic Academic Traumatologists: A Model for Collaboration in Orthopaedic Surgery.
  Journal of orthopaedic trauma 2018 Miclau T, MacKechnie MC, Shearer DW, COACT group
• International Orthopaedic Multicenter Study in Fracture Care: Coordinating a Large-Scale Multicenter Global Prospective Cohort Study.
  Journal of orthopaedic trauma 2018 Sprague S, McKay P, Li CS, Ivers R, Moroz PJ, Jagnoor J, Bhandari M, Miclau T, INORMUS Investigators
• Barriers to Clinical Research in Latin America.
  Frontiers in public health 2017 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, …