It only uses 1 gpu on the 5970 card, but I've found a fix which runs well enough to almost not warrant the need of an actual official patch.
First things first:
1) Download ATI CrossFire Xtension - Found at http://www.mediafire.com/?iz5mzzzz50z
2) *Optional* - Scan that thing at http://www.virustotal.com
3) Add a new profile
4) Create an app name, also link the app the your FalloutNV.exe
5) Only enable Force CrossFire Support, select Alternate Frame Rendering in the Method, select Direct3D and set the pre-defined profile to FallOut3.exe
Ok almost there.
If you've already tried d3d dll file fix, you'll notice it stabilizes framerate at the expense of max framerate
However, when it's used in conjunction with the forced crossfire, the second GPU makes up for that loss.
6) So download the old d3d dll file at http://www.newvegasnexus.com/downloads/file.php?id=34778
7) Put it in the same folder as your FalloutNV.exe
8) Launch New Vegas from the ATI CrossFire Xtension
Measure the framerate differences BEFORE the d3d dll file and Forced Xfire using Fraps (http://www.fraps.com/)
Then test with this "fix" to see if you gain performance.
*Additional Things to do to improve framerate*
9) -Using the New Vegas launcher's options, set Water Multisampling to LOW as this feature seems to be bugged
10) -While in game, hit your tilde key (~), and type in ToggleEmotions - This turns off NPC emotions which also seems to be bugged since it causes a massive CPU drain.
Post here if it works for you, maybe this can be of use to more than just me.