pins and plates can migrate, its something that just happens sometimes. They are foreign objects in your dogs body. Yes they need to come out. I believe the price. They are still doing surgery on your dog. they need to open the knee back up to find the pins. Your dog gets all the same monitoring systems and care that they got during the original surgery. Sometimes the pins migrate outward which is why it is sometimes cheaper. Sometimes they don't even have to be under anesthesia, just a sedative. Your dogs must be in deeper so they can't do that.
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