The Wikipedia article on ANSI C says:
One of the aims of the ANSI C standardization process was to produce a superset of K&R C (the first publishe
Function prototypes were the most obvious change between K&R C and C89, but there were plenty of others. A lot of important work went into standardizing the C library, too. Even though the standard C library was a codification of existing practice, it codified multiple existing practices, which made it more difficult. P.J. Plauger's book, The Standard C Library, is a great reference, and also tells some of the behind-the-scenes details of why the library ended up the way it did.
The ANSI/ISO standard C is very similar to K&R C in most ways. It was intended that most existing C code should build on ANSI compilers without many changes. Crucially, though, in the pre-standard era, the semantics of the language were open to interpretation by each compiler vendor. ANSI C brought in a common description of language semantics which put all the compilers on an equal footing. It's easy to take this for granted now, some 20 years later, but this was a significant achievement.
For the most part, if you don't have a pre-standard C codebase to maintain, you should be glad you don't have to worry about it. If you do--or worse yet, if you're trying to bring an old program up to more modern standards--then you have my sympathies.