With the splint fully collapsed and the calibrated Pulley Wheel facing up, position the Sager S300 between the patient’s legs resting the Ischial Perineal Cushion (the saddle) against the Ischial Tuberosity.

In the case of a unilateral fracture, the splint should be placed in the Perineum on the side of the injury. In bilateral Fractures – excluding Pelvic trauma – the side with the greatest degree of injury should be the side of placement. Apply the Abductor Bridle (thigh strap) around the upper thigh of the fractured limb. Tighten the strap lightly. Lift the Spring Clip to extend the Inner Shaft until the Pulley Wheel extends just beyond the heel. Note that the splint will still perform if an infant is so small that the Wheel extends further.

Note the absence or presence of distal pulses, check for sensation. Position the Malleolar Harnesses (ankle harnesses) beneath the heels and just above the ankles.

Fold down the number of Comfort Cushions needed to engage all of the ankle above the Medial and Lateral Malleoli. Using the attached Hook and Loop Straps, wrap the ankle harness around the ankle to secure snugly. Note: on very small children with mobile ankles, it is often necessary to apply tape over the ankle harness and to the skin of the heel to prevent slippage of the harnesses. Pull the Control Tabs to engage the ankle harness against the Pulley Wheel. This will ensure that the Cable Rings are pulled snugly against the soles of the feet. Apply QUANTIFIABLE DYNAMIC TRACTION™. With one hand holding the Outer Shaft, gently extend the Inner Shaft of the Splint by pulling it out until the desired amount of traction is recorded on the calibrated Pulley Wheel. It is suggested to use 10% of the patient’s body weight per fractured Femur up to 3 1/2 kg (7 1/2 pounds) for each leg. If bilateral fractures are present, the maximum amount would be 7kg (15 pounds), or as directed by the Pediatric Traumatologist. At the hollow of the knees, gently slide the large elastic Leg Cravat through and upwards to the Thigh, repeating with the smaller Cravats to minimize lower and mid-limb movement. Note: on small infants, one or both of the smaller Cravats may be sufficient for secure immobilization.

Adjust the Abductor Bridle (thigh strap) at the upper thigh making not too tight but snug and secure, then firmly secure the elastic leg Cravats.

Apply the Pedal Pinion (figure 8 strap) around the feet to prevent distal rotation. Note the absence or presence of distal pulses, check for sensation. Patient is now ready for transport.