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The HOVISSE (Haptic Osteosynthesis Virtual Intra- operative Surgery Support Environment) project is a medical virtual reality research undertaking conducted in collaboration with the University Hospital of Basel and the Computer Science Department of the University of Basel. The HOVISSE project aims to develop a framework of software applications that provide a seamless digital support environment for osteosynthesis in trauma care. It offers assistance, beginning with the pre-operative planning phase when a surgeon can interactively select and position the fracture-appropriate implant in a 3D visio-haptic immersive environment. The surgeon's support extends to the intra-operative surgery phase, where a simulation of the medical procedures in the operating room allow the optimization of the surgical intervention. By integrating these subsystems into an interoperable system, the project improves the osteosynthesis workflow through coherent and consistent data access during the entire fracture reduction process.