Brief description from Bifold Sliding Windows above :
A tilt and turn window can both tilt inwards at the top or open inwards from hinges at the side. This is the most common type of window in Germany, its country of origin. It is also widespread in many other European countries. In Europe it is usual for these to be of the "turn first" type. i.e. when the handle is turned to 90 degrees the window opens in the side hung mode. With the handle turned to 180 degrees the window opens in bottom hung mode. Most usually in the UK the windows will be "tilt first" i.e. bottom hung at 90 degrees for ventilation and side hung at 180 degrees for cleaning the outer face of the glass from inside the building.