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An orthotic or prosthetic spacer element including a ventilated and compressible core having first and second opposed surfaces, and a discrete and continuous web-like silicone-based frictional layer secured to the core first surface. The frictional layer and the core first surface have a plurality o

An orthotic or prosthetic spacer element including a ventilated and compressible core having first and second opposed surfaces, and a discrete and continuous web-like silicone-based frictional layer secured to the core first surface. The frictional layer and the core first surface have a plurality of coinciding apertures formed in a pattern. The spacer element may include a foam layer secured to the core second surface such that the foam layer and the core have different rigidities. A layer of hook-receivable material may be directly or indirectly secured to the second core surface.

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What is claimed is: 1. An orthotic or prosthetic spacer element, comprising: a three-dimensional knit fabric having first and second surface layers spaced by a ventilated and compressible core, the first surface layer being a fabric mesh forming a plurality of uniformly spaced apertures arranged in

What is claimed is: 1. An orthotic or prosthetic spacer element, comprising: a three-dimensional knit fabric having first and second surface layers spaced by a ventilated and compressible core, the first surface layer being a fabric mesh forming a plurality of uniformly spaced apertures arranged in a pattern and having a predetermined shape; a discrete and continuous frictional layer defined as a sheet of silicone elastomer laminated onto the first surface layer, the frictional layer having a plurality of apertures arranged in a pattern, the pattern of the frictional layer apertures are in direct correspondence to the pattern of the first surface layer apertures, the apertures of the frictional layer having the same shape as the apertures formed by the first surface layer, wherein the apertures of the frictional layer open over the ventilated core and are formed independently from the core; wherein the frictional layer extends continuously over the first surface layer in areas outside of the apertures formed by the first surface layer. 2. The spacer element according to claim 1, further comprising: a first compressible material layer secured to the second surface layer, wherein the first compressible material layer is generally more rigid than the core. 3. The spacer element according to claim 2, further comprising a second compressible material layer secured to the first compressible material layer, the second compressible material layer having a different rigidity from the rigidity of the first compressible material layer. 4. The spacer element according to claim 3, wherein the second compressible material layer is thicker than the first compressible layer. 5. The spacer element according to claim 2, wherein the first compressible material layer has a thickness greater than a thickness of the core. 6. The spacer element according to claim 1, further comprising: a compressible material layer having opposed first and second surfaces, the compressible material layer first surface connected to and generally parallel with the second surface layer. 7. The spacer element according to claim 6, wherein the compressible material layer is generally more rigid than the core. 8. The spacer element according to claim 6, further comprising: a hook-receivable backing layer secured to the compressible layer second surface. 9. The spacer element according to claim 1, further comprising: a hook-receivable textile-based backing layer having first and second opposed surfaces, the backing layer first surface secured to the second surface layer. 10. The spacer element according to claim 9, further comprising: peripheral edges formed from the hook-receivable backing layer generally extending about the periphery of the spacer element. 11. The spacer element according to claim 1, further comprising: a hook-receivable backing layer secured to the core second surface. 12. The spacer element according to claim 1, wherein the frictional layer has greater frictional properties than the first surface layer. 13. The spacer element according to claim 1, wherein the sheet of silicone elastomer has a shore hardness of 25-70. 14. The spacer element according to claim 1, wherein the sheet of silicone elastomer has a substantially uniform thickness. 15. The spacer element according to claim 1, wherein the sheet of silicone elastomer has a minimum tensile strength of 230 lbs/inch. 16. The spacer element according to claim 1, wherein the frictional layer has a high frictional coefficient against skin or clothing. 17. The spacer element according to claim 1, wherein the corresponding pattern of apertures of the first surface layer and the frictional layer are arranged in alternating rows, the apertures being formed as elongate slots. 18. The spacer element according to claim 1, wherein the fabric mesh of the first surface layer is a textile and the silicone of the frictional layer impregnates the textile of the fabric mesh. 19. A ventilated orthotic or prosthetic spacer element, comprising: a three-dimensional knit fabric having first and second surface layers spaced by a ventilated and compressible core, the first surface layer being a fabric mesh forming a plurality of uniformly spaced apertures arranged in a pattern and having a predetermined shape; a discrete and continuous frictional layer defined as a sheet of silicone elastomer laminated onto the-first surface layer, the frictional layer having a plurality of apertures arranged in a pattern, the pattern of the frictional layer apertures are in direct correspondence to the pattern of the first surface layer apertures, the apertures of the frictional layer having the same shape as the apertures formed by the first surface layer, wherein the apertures of the frictional layer open over the ventilated core and are formed independently from the core; wherein the frictional layer impregnates the first surface layer and extends continuously over the first surface layer in areas outside of the apertures formed by the first surface layer; and a layer of hook-receivable material secured to the core second surface. 20. The spacer element according to claim 19, further comprising: a compressible material layer interposed between the three-dimensional knit fabric and the hook-receivable layer. 21. The spacer element according to claim 20, wherein the compressible material layer has greater rigidity than the three-dimensional knit fabric. 22. The spacer element according to claim 19, wherein the frictional layer has greater frictional properties than the first surface layer and the hook-receivable layer. 23. The spacer element according to claim 19, wherein the sheet of silicone elastomer has a shore hardness of 25-70. 24. The spacer element according to claim 19, wherein the sheet of silicone elastomer has a substantially uniform thickness. 25. The spacer element according to claim 19, wherein the corresponding pattern of apertures of the first surface layer and the frictional layer are arranged in alternating rows, the apertures being formed as elongate slots. 26. The spacer element according to claim 19, wherein the fabric mesh of the first surface layer is a textile and the silicone of the frictional layer impregnates the textile of the fabric mesh.