Turning off vsync gives me about 60-90fps outside and about 80-120fps inside. There's the odd bit of tearing though.
EDIT: Now that the Nexus site seems to be working again, I thought I'd bring this mod to the attention of stoffe (and other arachnophobes) - http://www.skyrimnexus.com/downloads/file.php?id=28
Sounds like it still needs some polish, but should be sufficient to get you playing. Again for stoffe (and other lefties), there's a UI mod that might alleviate your control difficulties - http://www.skyrimnexus.com/downloads/file.php?id=88