On my schematic I have of course one symbol for the fuse:
and I created the related footprint:
the problem is in the BOM there is only one item associated to F1 while the actual mounting requires two items with a specific position and orientation.
I was using such fuse with such clips before 2017 when I started to use KiCad.
On my schematic I had of course three symbols. It looked like this:
This is from exported pdf. At original schematic it looked better (lines were thinner). Dots are because there are pin on pin and Protel generated dot in such situation.
In such case I look at Fab layer where I have the exact dimensions of all elements. So having at this layer the correctly located these small plates limiting the fuse position in length and the true dimension of fuse there is no problem to correctly position clips at PCB.