Now i want someone else to test this in fallout New Vegas. I have been playing with it set to 1/2/3 to no good results, even though the game is playable for me at either setting though with apparent frameskiping issues. Though switching it to 0 has done the trick for me, completely removing microstuttering and frameskipping issues.
If your wondering how to set the option or cant find it, right click on your desktop background and click Nvidia control panel, under manage 3d settings under global settings, or if you want to be really tricky, do it for the specific game so no conflicts will result in other games, go down to Maximum Pre-rendered Frames and boom there you are.
I believe its a problem because it seems to be conflicting with the games built in frame skipping.
But i want others to set it to 0 and see if there is any difference. In fact use it with all the other "Fixes" and post back results if you could.
also if your using an amd gpu go ahead and switch the setting to see if it helps for ati...uhh AMD users. Note that the setting is named differently.