First apply the stirrups using white tape to the sides of the distal limb (can be medial and lateral sides or dorsal and palmar sides of the limb depending on the injury). The stirrups should extend from a point at or above the carpus or tarsus. Then you would apply a mesh like cover on the injured limb to prevent discomfort for the patient. Then a minimum of 2 layers of snugly placed cast padding is applied. Once the cast padding is applied we would then apply the Stretch gauze. When applying the stretch gauze be sure not to place it too tightly or apply to much pressure as this could make the cast too tight. Once this is done, we would then apply the stirrups by twisting the distal parts of the stirrups and then laying the sticky sides up
