Position the Sager S304 between the patients’ legs, resting the Ischial Perineal Cushion (the saddle) against the ischial tuberosity, with the shortest end of the Articulating Base towards the ground.

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. Push the Ischial Perineal Cushion gently down while at the same time pulling the thigh strap laterally under the patients’ thigh. This will seat the lower end of the cushion comfortably against the ischial tuberosity. Tighten the thigh strap lightly. Lift the Spring Clip to extend the Inner Shaft on the S304 until the Crossbar rests adjacent to the patients’ heels.

Note the absence or presence of distal pulses, check for sensation.

Position the Malleolar Harness (ankle harness) beneath the heel(s) and just above the ankle(s), 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. Pull control tabs to engage the ankle harness tightly against the Crossbar. Apply QUANTIFIABLE DYNAMIC TRACTION™. Grasp the padded shaft of the S304 with one hand and the Traction Handle with the other, gently extend the Inner Shaft until the desired amount of traction is recorded on the Traction Scale. It is suggested to use 10% of the patients’ body weight per fractured femur up to 7kg (15 lbs.) for each leg. If bilateral fractures are present the maximum amount would be 14kg (30 lbs.). 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.

Adjust the thigh strap at the upper Thigh making sure it is 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 rotation. Note the absence or presence of distal pulses, check for sensation. Patient is now ready for transport.