Embodiments herein relate to ear-wearable devices and systems with features to track orthopedic issues and orthopedic procedure recovery. In an embodiment, an ear-wearable device is included having a control circuit, a microphone, and a sensor package. The ear-wearable device can be configured to receive an input regarding an occurrence of an orthopedic procedure, evaluate signals from the sensor package and/or the microphone, and determine a rehabilitative status of a device wearer with respect to the orthopedic procedure. Other embodiments are also included herein.