A wait and see approach might be okay for now. How-ever did your vet prescribe any anti inflammatories for him?
I offer this information/opinion for your consideration. Knee surgery can be trickey, and not many general vets and especially with small breed dogs really have the skill and experience to do a really good surgical repair. Truly I believe a board certified surgeon fully versed in the many different surgical repair/replace techniques would be best. Personally I'd only want that surgery done once the right way!. Also until the joint is opened up, it is truly then the surgeon gets a full view of what is going on, and the best way to repair the joint. You may pay more but I rather do that then deal with a subpar surgical repair. Their skill also means that they can get in and out with the least amount of time; and usually have a surgical team to assist and monitor the dog while under anesthesia. That is very important with a senior dog.
And the only post I saw was one at $4600 which included some additional techniques and also included all the testing and pre post op care, including bloodwork.
And as a final note if your vet is concerned about putting him under for surgery, I certainly would be, and would want the best and most experienced team to work on my dog.
I hope your dog heals well, Best of Luck
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