MySQL should work without any problems on Mac OS X 10.x (Darwin). You don't need the pthread patches for this OS!
This also applies to Mac OS X 10.x Server. Compiling for the Server platform is the same as for the client version of Mac OS X. However please note that MySQL comes preinstalled on the Server!
Our binary for Mac OS X is compiled on Darwin 6.3 with the following configure line:
CC=gcc CFLAGS="-O3 -fno-omit-frame-pointer" CXX=gcc \ CXXFLAGS="-O3 -fno-omit-frame-pointer -felide-constructors \ -fno-exceptions -fno-rtti" ./configure --prefix=/usr/local/mysql \ --with-extra-charsets=complex --enable-thread-safe-client \ --enable-local-infile --disable-shared
See section 2.1.3 Installing MySQL on Mac OS X.