dunno, looks like it would be hard... But maybe it would be better than a mouse and keyboard... i found almost everything works beter than a mouse and keyboard.
Lacking a flightstick,, i use a ps2 game pad, has just enough buttons to do everything i need, save for Deploying landing gear, and manage sub systems. but both of those are easy enough to control with the keyboard. (space for landing pad, Arrow keys for sub systems)