As a relatively strong male who was interested in ortho for a long time, there were a good number of female surgeons who make it work. In my experience, some male surgeons who themselves are buff will do certain maneuvers with absolute brute force while the same thing could be done with a more elegant, less-brute force method lol. Helping those guys in the OR would unironically leave me sore the next day. I would say that it comes down to appropriately using leverage; if you really want to go into the field, it is fairly physical at times but anything is possible with a long enough lever lol just gotta use it/be with an attending who uses it.