I have had a Lansky for a number of years. For me it works well within certain parameters. First, the knife needs to be saber ground. If it is hollow or flat ground all the way to the back, the clamp wont hold because you dont have two parallel sides to grab. When you clamp the blade, try to keep the two halves of the clamp close to parallel and hold the blade with just the end of the clamps. Try to keep the edge perpendicular to the stone, this will help to keep the angle consistent from heal to toe of the blade. I also glued a small piece of spring steel to the clamp that the thumb screw comes in contact with, this will help to keep the clamps aligned to each other when tightening the screw without wearing the aluminum.
The angles marked on the clamp are supposed to be per side, but are only marginally accurate. It depends on the width of the blade. If you are sharpening a wide blade, the angle will be smaller then when trying to sharpen a narrow pocket knife blade.
The setup works well once you have a consistent, flat bevel along the entire edge on both sides. If you are sharpening a factory edge, this can take quite a while, most edges are not anywhere near 20 degrees per side. Keep working the edge until you get a small burr on the opposite side, then go to the opposite side and do the same. Once you have created a burr on both sides, go to the next finer stone. Hope this helps.
Richard