X-ray Temporarily fixed distally with K-wires. X-ray Temporarily fixed distally with K-wires. View the embedded image gallery online at: https://www.zbinetworkemea.com/fracture/index.php/treatment-example/vancouver-c-complex/item/137-preliminary-fixation#sigProId56502f3abe 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.