Palmar avulsion injuries are most devastating injuries of the hand. Reconstruction and resurfacing the entire palm remains a great challenge for Plastic surgeons because it is thick and glabrous skin. Palmar avulsion injuries are very rare and only few cases are reported. Reconstruction should be done at the earliest to regain hand function and to preserve the underlying tendons and nerves. The patients who had a groin flap reconstruction were analysed with regard to hand function and aesthetic outcome.