I did the d3d9 fix, and made FFDShow exceptions, but still have an annoying microstuttering.
Added iFPSClamp=60 to my config, and WOW, game is so smooth it's unbelievable.
My guess is, without this setting, even with Vsync the game is trying to render above 60 FPS then not due to Vsync, causing stutter, whereas this setting completely locks it.
Using a GTX460 1GB