For friends of mine who scored below 240 on Step 1, it seems Ortho is pretty difficult this year on the East Coast at least. I can't imagine it'd be any easier on the West Coast.
Anyway, while the majority of programs out there seem hung up on board scores, I would suggest what the other poster suggested. Check out the community programs, but before going on your away electives, talk to seniors who have gone through ortho and get their impression on which of these types of programs don't look at boards as closely.
The grim reality of many of the surgical subspecialties (as well as general surgery in some cases) is that board scores are extremely important. "Looking past the numbers" is not something surgical programs are prone to do.