Determination of chromium, cobalt and molybdenum in synovial fluid by GFAAS.

An artificial knee joint made of a cobalt alloy (Cr 27-38%, Mo 5-7%, others 9%, Co balance) failed in an orthopaedic patient with severe tissue reaction. Samples of synovial fluid and blood were analyzed for cobalt, chromium and molybdenum concentration using graphite furnace atomic absorption spectrophotometry (GFAAS). NIST SRM 909 Human Serum containing 91.3 micrograms/L chromium was used as the Cr Standard. To obtain reliable values for cobalt and molybdenum, three different independent analytical methods were employed to analyze each sample: 1) dilution of the samples with Triton TX-100 solution, followed by GFAAS; 2) microwave decomposition of the samples, followed by GFAAS; 3) classic nitric-perchloric acid decomposition of the samples, followed by GFAAS. The two decomposition methods were used to control the accuracy of the dilution method. The results showed that the non-decomposition method gave comparable results to the decomposition techniques for analysis of synovial fluid and blood. The data revealed that the patient had elevated levels of Co, Cr and Mo in both synovial fluid and blood with the values being 2-3 orders of magnitude higher in the synovial fluid from the affected knee.