A spacer element for use in an orthopedic or prosthetic device includes an apertured fabric layer having first and second fabric layers. A discrete and continuous web-like frictional layer is laminated onto the first fabric layer and has greater frictional properties than the fabric layer. The frictional layer has a plurality of apertures arranged in a pattern in direct correspondence to a pattern of the first surface layer apertures. A compressible material layer has opposed first and second surfaces, wherein the first surface is secured to the second surface layer. The compressible material layer has a first compression molded region with reduced thickness and increased density relative to a second region of the compressible material having a predetermined thickness.