An ADF file is just a track-by-track dump of the raw bytes stored on an Amiga floppy disk. It may or may not contain a filesystem. The early versions of AmigaOS used what was retroactively dubbed Old FileSystem (OFS). Later OS versions used the Fast FileSystem (FFS), which also supports hard disks. Games used their own, custom filesystems, if they used one at all.
The Linux kernel has supported OFS and FFS since the early days. However, AmigaOS is very flexible and modular, and many programmers wrote their own filesystems, and released modules that the OS could read from a disk's boot block. The Linux kernel code can't read those, because nobody has ported the filesystem code.
This new FUSE driver takes a different approach, and reads the AmigaOS module from disk, and executes the m68k code, in order to read the filesystem. Very cool.
The Professional File System (PFS) is widely used on contemporary Amiga systems, so it will be very nice to have native support on the Linux side in order to share files. It's less useful if all you want to do is run classic games in an emulator.