Proximal and distal temporary fixation with K-wires. Proximal and distal temporary fixation with K-wires. View the embedded image gallery online at: https://www.zbinetworkemea.com/fracture/index.php/treatment-example/rorabeck-i-ii-simple/item/146-preliminary-fixation#sigProIdebc46debd6 Preliminary Fixation After the plate is inserted it is fixed temporarily with K-wires proximally and distally. Avoid hitting the prosthesis with the K-wire.