<p>An orthopedic device including a spacer element (700) with an apertured fabric layer having first and second fabric layers (714, 718), and a discrete and continuous web-like frictional layer (710) laminated onto the first fabric layer (714) and having greater frictional properties than the fabric layer. The spacer element includes a compressible material layer (716) having a first compression molded region (704) with reduced thickness and increased density relative to a second region (708) of the compressible material. The orthopedic device includes a plurality of different straps having different degrees of stretchability.</p>