IMG with low Step 1 but Nature publication

I am looking at applying for Ortho residency in next year's or the following match. I just graduated from a Caribbean medical school (one of the big well known ones) in November of 2016. I got a 220 on Step 1 and a 233 on Step 2CK with a first pass on both (had some issues come up during testing times which affected my scores). I wonder if anyone can help me out with some advice on how to make this happen. I am well aware my scores and school will make things infinitely harder but I don't plan on giving up on this.

Over the last year, I worked in a bone and endocrinology lab at Mount Sinai Hospital in NYC and published a paper in the journal Nature in June 2017. I recently left Mount Sinai and started a clinical research position at Washington University in Saint Louis and hope to publish multiple papers in JBJS soon as well as present at AAOS. I am well known by some of the attendings at WashU and although I can get glowing LoRs, I fear that my scores and medical school preclude me from even being considered by such a prestigious program. I am wondering if anyone has any ideas to help me attain my goal. Any and all advice is appreciated.

1) Continue to publish research aggressively for the next 4+ years in JBJS, JoA, JoT, etc.

2) Match at Cleveland Clinic

Did I miss something...why Cleveland Clinic?

Are they friendly toward publication-heavy residency apps?

If you're an IMG, look into the current chairman, take note of people who have been coauthors on his "several" papers in those above mentioned journals (and maybe a "few" more) over the past 6 years, and see if any of them happen to be Ortho residents.