There are projects that use LSMTs as the storage engine for RDBMS' (like RocksDB); I'm not sure it's accurate to say "they can't be use as an RDMBS".
The fact that MyRocks doesn't use B+Trees seems like half the story. Less than half, even. The really important difference between MyRocks and InnoDB is that MyRocks uses log-structured storage (one LSM tree for everything), while InnoDB uses a traditional write-ahead log with checkpoints, and with logical UNDO. There are multiple dimensions to optimize here, not just a single dimension. Focusing only on time/speed is much too reductive. In fact, Facebook themselves have said that they didn't set out to improve performance as such by adopting MyRocks. The actual goal was price/performance, particularly better write amplification and space amplification.