One of the reason we get stuttering/skipping graphics its because (taken from Steam forum)

"The problem is that the game engine works at 64 hertz, and your screen refresh rate is usually 60 hertz (with vsync). This means you to lose 4 frames every second, causing the skipping effect."

Stand in front of some building and sidestep, not exactly smooth moving there...

Skilled coders has solved this 64hz issue in Oblivion/Fallout with Improved_GetTickCount..
http://www.newvegasnexus.com/downloads/file.php?id=34832

As this game use the same engine, can the devs do this fix also?