I'm not sure how competitive this year was compared to the past, but as a DO student who applied to both DO and MD ortho, I have told all of the MS3s at my school to not bother with MD programs. If you want to risk it, you better have great scores, and have big balls (courageously speaking). I had a pretty good application, mid 250s on both steps, national officer for a surgery club, decent LOR, and only received 4 interviews out of 45 programs, and 2 were programs I had rotated at (and I didn't apply to the top tier programs). If you are a stud applicant, you will match DO, and as long as you took the USMLEs, you should be able to still get into ACGME fellowships as an "exemplary student". Also, some fellowships are ABOS accredited so residency doesn't matter.