I just found out that I matched into ortho today. I, too, was in the position of not matching a year ago. The usual two options if you find out you didn't match & you still want to do ortho are:
1) a prelim surgery position somewhere (there will probably be lots available in the Scramble), keep your eye out for a PGY-2 to open up somewhere & reapply (best to talk to someone who did this for more info)
2) a year of ortho research somewhere (paid or unpaid)-this is what I did
When staring down the barrel of considering a prelim surgery year last year, I just couldn't do it. It's a very personal & a very individual decision, and I decided to do a year of research. I sat down with a list of the top hospitals/med schools in the country in terms of research funding (from U.S. News & WR, I think) and started emailing my CV to the orthopaedic residency coordinators at each program asking if they had any such research opportunities. I came across a few opportunities, and I applied for & was offered the Orthopaedic Research Fellowship at UNC. Here's the link to more info, and the only thing to clarify is that this is open to those who have completed residency OR to those about to graduate from medical school. I graduated from med school in May '07, and I started at UNC in July.
The listed deadline is April 1st, but I think it's to your advantage to get your application in if you're interested. You can always just let them know if you accept a prelim surgery spot or scramble into an ortho spot in a few days.
I don't regret doing research instead of a prelim year at all, but there are many different opinions on this. I went on 16 interviews this year, and at each one, someone either said they thought it was the right thing to do or suggested that I should have done a prelim surgery year.
One of the things that I did give up by choosing research is that I was NOT eligible to apply for PGY-2 ortho openings when they came up throughout the year, and I knew this going in.
If you got bad news today, and you know that Ortho is what you want to do, don't lose hope. It is still possible to get into this amazing field. I know how hard this day is; it was truly one of the worst days of my life last year. I took a lot of time to carefully consider all of the other medical specialties to make sure there wasn't something else I would be happy doing, and I would urge other unmatched applicant to do the same. Hope this information helps, and good luck!