It's not that deep. The futex was developed just to save you from issuing a special system call to ask the OS to put you on a wait queue.
The whole point is that implementing a mutex requires doing things that only the privileged OS kernel can do (e.g. efficiently blocking/unblocking processes). Therefore, for systems like Linux, it made sense to combine the features for a fast implementation.
The whole point is that implementing a mutex requires doing things that only the privileged OS kernel can do (e.g. efficiently blocking/unblocking processes). Therefore, for systems like Linux, it made sense to combine the features for a fast implementation.