You can match with sparse third year honors....however you will not get interviews at the big name places....
If your goal is simply to get an ortho spot..provided you have 230 ish or better step one, good letters, and good recs...expect to find yourself getting interviews from the mid to lower tier places.....
Some of the big places put a lot of emphasis on AOA...so those places are out for you....so dont waste applications to Duke, HSS, Wash U, Seattle, RUSH...your best bet will be in the south and midwest where the geography makes it slightly less competitive.....
Third year grades are subjective and vary widely by school and who evaluates you....at my med school only 15% got honors.....I can tell you there are plenty of guys in residency who were maybe top third but top 15% is pretty tough.....
