I have had a Skoda Kodiaq Mk2 PHEV since February this year. That has a gear lever mounted on the steering column (I think more and more models are doing this).
I need hand controls, but prefer the electronic as opposed to mechanical throttle. The only manufacturer that could provide this was Veigel, and even then they had to collect the car from my dealer in Somerset and take it to their workshop in Aylesbury to fit it. I was told it something to do with the electronic throttle setup being so new(?). There was never any mention of the gear lever position being a problem.
Very happy with the control. I have an indicator switch on the control (which is self cancelling – never had that before on a hand control) and even a headlight flash button – very useful.